Contract Details
Omicron Care, LLC
Facility name
Beacon Home Care
Provider ID
P000000001
NPI
1235682642
Tax ID
474518158
Effective Date
8/7/2019
Last Updated
1/27/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
2430 Herodian Way SE
Smyrna, GA 30080
United States
Phone
678-388-9950 (Phone)
Billing Details
Address
2430 Herodian Way SE
Smyrna, GA 30080
Billing Phone
678-388-9950
Specialty Type
Home Health
Map
Address