OrganizationActive
Le'Glen Personal Care Home
NPI 1053669986 · Home Health Agency · Ellenwood, GA
Le'Glen Personal Care Home is a Home Health Agency organization in Ellenwood, GA (NPI 1053669986).
Provider details
- NPI number
- 1053669986
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Glynda Etchison, Provider(404) 963-1599
- License
- PCH008098 (GA)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2490 Boulder Springs PT
Ellenwood, GA 30294-1762
Phone: (404) 963-1599
Street-level locationGet directions
Mailing address
2490 Boulder Springs PT
Ellenwood, GA 30294-1762
Registry dates
- Enumerated
- 2012-08-27
- Last updated
- 2012-08-27
Frequently asked questions
- What is Le'Glen Personal Care Home's NPI number?
- Le'Glen Personal Care Home's National Provider Identifier (NPI) is 1053669986, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Le'Glen Personal Care Home?
- Le'Glen Personal Care Home is classified in the NPPES registry as Home Health Agency (Agencies).
- Where is Le'Glen Personal Care Home located?
- Le'Glen Personal Care Home's practice location on file with NPPES is 2490 Boulder Springs PT, Ellenwood, GA 30294-1762.
- What is Le'Glen Personal Care Home's phone number?
- The practice phone number listed in the NPPES registry for Le'Glen Personal Care Home is (404) 963-1599.
- Who is the authorized official for Le'Glen Personal Care Home?
- The authorized official listed on Le'Glen Personal Care Home's NPPES record is Glynda Etchison, Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Le'Glen Personal Care Home's NPI active?
- Yes — Le'Glen Personal Care Home's NPI (1053669986) is active in the NPPES registry as of the last update on 2012-08-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.