WIDE RANGE OF RESOURCES, INC (NPI# 1043459878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043459878 |
| Entity Type | Organization |
| Organization Name | WIDE RANGE OF RESOURCES, INC |
| Practice Address |
1776 N Jefferson St Ne Suite B Milledgeville GA 31061-2229 |
| Practice Telephone | 4784513112 |
| Practice Fax Number | 4784510626 |
| Mailing Telephone | 4784513112 |
| Mailing Fax Number | 4784510626 |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2009-02-18 |
| Authorized Official Name | MRS. FREZALIA L. OLIVER (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 4784513112 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | CSW00658 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 139858482A | 05 | |
| GA | 139858482C | 05 | |
| GA | 139858482B | 05 | |
| GA | 538773445A | 05 | |
| GA | MEDICARE GROUP PIN | GRP7368 | 01 |
| Street Address |
1776 N JEFFERSON ST NE SUITE B |
| City | MILLEDGEVILLE |
| State | GA |
| Zip Code | 31061-2229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588087324 | Linda Paige Hurt | Counselor | 1776 N Jefferson St Ne, Wide Range of Resources, Milledgeville, GA 31061-2229 | 2014-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007403 | Caring Clinic LLC | Nurse Practitioner | 114 Wrights Dr, Milledgeville, GA 31061 | 2020-09-10 |
| 1629619945 | Gini M Ellis | Counselor | Blandy Way Office Park 60, Highway 22 West, Milledgeville, GA 31061 | 2019-10-08 |
| 1356992275 | Community Health Care Systems, Inc | Clinic/Center | 100 N Abc Street, Milledgeville, GA 31061 | 2019-09-23 |
| 1467923805 | Adam Tocio | Specialist/Technologist | 350 W. Washington St., Milledgeville, GA 31061 | 2018-12-11 |
| 1487170304 | Aubrey Martin | Specialist/Technologist | 251 S Clark St., Milledgeville, GA 31061 | 2017-08-22 |
| 1427573054 | Heritagefirst Home Care Inc. | In Home Supportive Care | 1277 Twin Pine Road, Milledgeville, GA 31061 | 2017-08-04 |
| 1851813893 | Brittany Shantrel Primas | Nurse Practitioner | 102 A Airport Road Ne, Milledgeville, GA 31061 | 2017-07-12 |
| 1609300839 | Samantha Weldon | Behavioral Analyst | 174 Stewart Dr Nw, Milledgeville, GA 31061 | 2017-04-14 |
| 1427425230 | Foster Deariso | Specialist/Technologist | 251 S Clarke St, Milledgeville, GA 31061 | 2015-08-27 |
| 1023406279 | Llewelyn Garillos | Occupational Therapist | 3789 Sinclair Dam Road Ne, Milledgeville, GA 31061 | 2014-12-22 |
| Find all providers in zip 31061 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265097240 | Chance Talley Enterprises LLC. | Clinic/Center | 1850 N Columbia St Ste 5, Milledgeville, GA 31061-7115 | 2019-05-06 |
| 1174859367 | Convenient Care Md, LLC | Clinic/Center | 111 Fieldstone Dr Ste 114, Milledgeville, GA 31061-7108 | 2009-10-23 |
| 1861680696 | Wide Range of Resources,iinc. | Clinic/Center | 1776 N Jefferson St Ne Ste B, Milledgeville, GA 31061-2292 | 2007-10-05 |
| 1811540297 | Middle Georgia Nutrition Consulting, LLC | Clinic/Center | 1209 N Columbia Dr, Milledgeville, GA 31061-2395 | 2019-07-24 |
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| 1073146759 | Transitional Care Clinic LLC | Clinic/Center | 2084 Newnan Crossing Blvd E Ste 300, Newnan, GA 30265-2561 | 2020-02-20 |
| Find all providers with the same taxonomy | ||||
| City | MILLEDGEVILLE |
| Zip Code | 31061 |
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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.