ADAM AND EVE ASSISTED LIVING COMMUNITY (NPI# 1013219450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013219450 |
| Entity Type | Organization |
| Organization Name | ADAM AND EVE ASSISTED LIVING COMMUNITY |
| Practice Address |
5169 Covington Hwy Decatur GA 30035-2024 |
| Mailing Address |
5169 Covington Hwy Decatur GA 30035 |
| Practice Telephone | 7709870390 |
| Mailing Telephone | 7709870390 |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2010-11-17 |
| Authorized Official Name | MRS. EVELYN JOHNSON (OWNER) |
| Authorized Official Telephone | 7709870390 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 044014111 | GA | Residential Treatment Facilities |
| Street Address |
5169 COVINGTON HWY |
| City | DECATUR |
| State | GA |
| Zip Code | 30035-2024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972079978 | James L Vinson, Phd | Home Health Aide | 4050 Snapfinger Woods Drive, Suite 201, Decatur, GA 30035 | 2018-10-17 |
| 1417445206 | Kamla Gonzales | Nurse Practitioner | 5146 Miller Woods Trl, Decatur, GA 30035 | 2018-04-26 |
| 1578924924 | Alicia Marie Johnson Bryant | Social Worker | 5878 Covington Hwy, Decater, GA 30035 | 2016-03-14 |
| 1568865756 | Tracy Roberson | Counselor | 4150 Snapfinger Woods Drive, Decatur, GA 30035 | 2014-10-01 |
| 1972927861 | Tyrone D. Lane Enterprises, Incorporated | Psychologist | 5304 Panola Industrial Boulevard, Suite L, Decatur, GA 30035 | 2014-02-12 |
| 1013255355 | Mervin E Williams | Pharmacist | 2075 South Hairston, Decatur, GA 30035 | 2013-01-22 |
| 1205187572 | Mariana Simpson-walker | Speech-Language Pathologist | 4262 Clausell Ct Ste A, Decatur, GA 30035 | 2012-09-27 |
| 1053683854 | Jimiesh G Crane | Dentist | 5243 Snapfinger Woods Dr Ste 105, Decatur, GA 30035 | 2012-02-08 |
| 1568765824 | Salih Robinson | Health Educator | 2511 Lantrac Ct, Decatur, GA 30035 | 2010-12-08 |
| 1831428234 | Thomas Counseling | Counselor | 3781 Presidential Parkway, Suite 111c, Chamblee, GA 30035 | 2009-12-14 |
| Find all providers in zip 30035 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730799073 | Victory Won Counseling and Res Care Prof. Corp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5014 Snapfinger Woods Dr, Decatur, GA 30035-4003 | 2020-08-02 |
| 1699138669 | From The Heart Enterprises, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2188 Riverbrook Rd, Decatur, GA 30035-2924 | 2016-03-29 |
| 1700248226 | Xtraordinary People Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 404 Glennwood Rd Sw, Decatur, AL 35601-3932 | 2016-03-23 |
| 1750750923 | Church of Grace of The Christian Faith | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 109 Memorial Dr Nw, Decatur, AL 35601-2263 | 2015-09-17 |
| 1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
| 1467798645 | Loyd Homes of Decatur, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 815 Sherman St Se, Decatur, AL 35601-3143 | 2012-12-17 |
| 1982958518 | Exceeding Your Expectations | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2115 Nichols Ln, Decatur, GA 30032-5834 | 2012-11-05 |
| 1861746901 | As&c Homes Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1607 Faye St Sw, Decatur, AL 35601-2732 | 2012-10-27 |
| 1922310291 | Owls Retreat Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2858 Santa Barbara Dr, Decatur, GA 30032-3552 | 2010-07-02 |
| 1316279557 | Allegiant Service LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4323 Juneberry Ct, Decatur, GA 30034-6425 | 2010-02-12 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.