GREENRIDGE COMMUNITY INTEGRATION HOME (NPI# 1023235587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023235587 |
| Entity Type | Organization |
| Organization Name | GREENRIDGE COMMUNITY INTEGRATION HOME |
| Practice Address |
508 Greenridge Cir Stone Mountain GA 30083 |
| Practice Telephone | 4045869230 |
| Mailing Telephone | 4045869230 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RALPH SALANDY (MANAGER) |
| Authorized Official Telephone | 4048190901 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
044232 | GA | Ambulatory Health Care Facilities |
| Street Address |
508 GREENRIDGE CIR |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558830919 | Patriot Healthcare of Georgia, LLC | Family Medicine | 833 Hairston Road, Stone Mountain, GA 30083 | 2018-11-15 |
| 1710403431 | Trans Med Ems,llc | Ambulance | 4683 Redan Rd, Stone Mountain, GA 30083 | 2017-08-15 |
| 1447770482 | Dispatched Angels Home Care | In Home Supportive Care | 619 El Prado Court, Stone Mountain, GA 30083 | 2017-06-21 |
| 1396191086 | Suzanne Carter | Chore Provider | 1036 Allgood Rd, Stone Mountain, GA 30083 | 2016-05-11 |
| 1437520087 | Meaza Dada | Pharmacist | 1043 Thornwoode Lane, Stone Mountain, GA 30083 | 2015-10-08 |
| 1427436500 | Raeanne Elizabeth Gialanella | Occupational Therapist | 5839 Memorial Drive, Stone Mountain, GA 30083 | 2015-05-11 |
| 1265829824 | Latore Williams | Licensed Practical Nurse | 5300 Ridge Forest Drive, Stone Mountain, GA 30083 | 2015-04-22 |
| 1144625922 | Granville Theodore Freeman IIi | Counselor | 5000 Brittany Drive, Stone Mountain, GA 30083 | 2014-10-23 |
| 1588974208 | Terri R Collins | Counselor | 1020 Strap Hinge Trail, Stone Mountain, GA 30083 | 2010-10-15 |
| 1104064815 | Vistas Medical Center,pc | Clinic/Center | 5329 Memorial Dr Ste A, Stone Mountain, GEORGIA 30083 | 2009-02-03 |
| Find all providers in zip 30083 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083129142 | Better Life Counseling, LLC | Clinic/Center | 1304 Rockbridge Rd Ste 208, Stone Mountain, GA 30087-3103 | 2017-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596646 | Bhg Lxvi, LLC | Clinic/Center | 1021 Alabama Avenue, Bremen, GA 30110 | 2020-10-22 |
| 1801495213 | New Orleans Caring Hands LLC | Clinic/Center | 4696 Balley Shannon Dr Se, Mableton, GA 30126-1763 | 2020-10-19 |
| 1205434594 | Sunflower Counseling Center | Clinic/Center | 950 Eagles Landing Pkwy Ste 202, Stockbridge, GA 30281-7343 | 2020-10-09 |
| 1124632013 | Dunwoody Mental Health Center | Clinic/Center | 4594 Barclay Dr, Atlanta, GA 30338-5883 | 2020-09-08 |
| 1093327488 | Elevate Behavioral Health | Clinic/Center | 304 Cumberland Way Se, Smyrna, GA 30080-7766 | 2020-08-18 |
| 1346851292 | Solacium Holding LLC | Clinic/Center | 960 N Point Pkwy Ste 450, Alpharetta, GA 30005-2034 | 2020-08-13 |
| 1962012153 | Janel Falvey LLC | Clinic/Center | 340 Eisenhower Dr Bldg 300, Savannah, GA 31406-1600 | 2020-08-03 |
| 1386252948 | Endpoints LLC | Clinic/Center | 3036 General Lee Rd, Macon, GA 31204-1518 | 2020-07-20 |
| 1790393684 | Reclaimu Healthcare Services, LLC | Clinic/Center | 2037 Ema Dell Pl, Loganville, GA 30052-5375 | 2020-07-16 |
| 1972120970 | Imagine New Beginnings | Clinic/Center | 3125 Colonial Way Apt J, Atlanta, GA 30341-5339 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30083 |
Please comment or provide details below to improve the information on GREENRIDGE COMMUNITY INTEGRATION HOME.
| 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.