EBONY RAINGE (NPI# 1023352887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023352887 |
| Entity Type | Individual |
| Full Name | EBONY RAINGE |
| Practice Address |
905 Parkside Walk Ln Lawrenceville GA 30043-7314 |
| Mailing Address |
554 Lone Oak Dr Lithonia GA 30058-8212 |
| Practice Telephone | 7708467524 |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171W00000X | Contractor | Other Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
905 PARKSIDE WALK LN |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30043-7314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174711170 | Fox Pharmacy LLC | Pharmacy | 905 Parkside Walk Ln, Ste 108, Lawrenceville, GA 30043-7314 | 2007-10-04 |
| 1023441466 | Gwinnett Drugs LLC | Durable Medical Equipment & Medical Supplies | 905 Parkside Walk Ln, Ste 108, Lawrenceville, GA 30043-7314 | 2013-08-20 |
| 1669716429 | Ricardo Navarro | Social Worker | 905 Parkside Walk Ln, Suite 100a, Lawrenceville, GA 30043-7314 | 2012-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483882 | Brittany Javier Dunn | Counselor | 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 | 2020-09-30 |
| 1629614037 | Terrea Gina Bridges | Behavior Technician | 2387 Huntcrest Rd, Lawrenceville, GA 30043 | 2019-11-20 |
| 1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
| 1093299778 | Shareef Nahas | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 | 2018-09-19 |
| 1649766874 | Nutritionecw LLC | Dietitian, Registered | 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 | 2018-07-11 |
| 1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
| 1932611688 | Asfc Outreach Therapeutic Counseling Services, LLC | Counselor | 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 | 2017-11-02 |
| 1518486810 | Shira Brey Williams | Specialist/Technologist | 1030 Collins Hill Rd, Lawrenceville, GA 30043 | 2017-09-18 |
| 1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
| 1992245591 | Jagruti Chaudhari | Nurse Practitioner | 855 Buford Drive, Lawrenceville, GA 30043 | 2017-03-01 |
| Find all providers in zip 30043 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821633447 | Rachel Delgado | Case Manager/Care Coordinator | 1624 Glenfield Dr, Lawrenceville, GA 30043-3691 | 2019-11-07 |
| 1164071700 | Lauren E Welton | Case Manager/Care Coordinator | 11362 Country Club Road, Lawrenceville, IL 62439 | 2019-09-06 |
| 1982098117 | Kathy Johnson | Case Manager/Care Coordinator | 1395 Stoney Field Pl, Lawrenceville, GA 30043-3860 | 2015-03-25 |
| 1114351236 | Laura Moncada | Case Manager/Care Coordinator | 4799 Sugarloaf Pkwy Ste K, Lawrenceville, GA 30044-8836 | 2013-08-26 |
| 1326213851 | Janet T Gill | Case Manager/Care Coordinator | 1535 Cheshire Ct, Lawrenceville, GA 30043-6514 | 2008-04-25 |
| 1427260413 | Amy E. Castaline | Case Manager/Care Coordinator | 900 Legacy Park Drive, Apt 1413, Lawrenceville, GA 30043-8715 | 2007-05-04 |
| 1881757235 | Marilyn Proctor | Case Manager/Care Coordinator | 280 Plantation View Dr, Lawrenceville, GA 30044-4567 | 2006-12-18 |
| 1437709979 | Alexis Marie Hulfachor | Case Manager/Care Coordinator | 11362 Country Club Road, Lawrenceville, IL 62439 | 2019-09-17 |
| 1467997999 | Ryan Mack | Case Manager/Care Coordinator | 965 Oakland Rd, 3b, Lawrenceville, GA 30044-3758 | 2016-12-19 |
| 1710421599 | Xavier Johnson | Case Manager/Care Coordinator | 965 Oakland Rd, Lawrenceville, GA 30044-3758 | 2016-12-13 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30043 |
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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.