OrganizationActive
Healthcare Training Center, LLC
NPI 1104299239 · In Home Supportive Care Agency · Fayetteville, GA
Provider details
- NPI number
- 1104299239
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Gwendolyn Crenshaw, Program Manager(678) 933-9309
Specialties & taxonomies
Agencies
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
115 Commerce Dr Ste a
Fayetteville, GA 30214-7335
Phone: (770) 629-7353
Street-level locationGet directions
Mailing address
115 Commerce Dr Ste a
Fayetteville, GA 30214-7335
Other names (DBA / former)
- Other name
- Healthcare Training Center , LLC and Home Care Agency
Registry dates
- Enumerated
- 2015-11-11
- Last updated
- 2015-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.