Provider Demographics
NPI:1942185772
Name:BAYSWORTH HEALTH CARE AGENCY LLC
Entity type:Organization
Organization Name:BAYSWORTH HEALTH CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:OLUWAKENKE
Authorized Official - Middle Name:
Authorized Official - Last Name:BEN-ASEMOTA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:404-423-2130
Mailing Address - Street 1:945 N POINT DR # 1232
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-8266
Mailing Address - Country:US
Mailing Address - Phone:404-423-2130
Mailing Address - Fax:
Practice Address - Street 1:4620 MORTON RD
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-5523
Practice Address - Country:US
Practice Address - Phone:404-423-2130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty