PEACHTREE HOME HEALTH, LLC (NPI# 1043619141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043619141 |
| Entity Type | Organization |
| Organization Name | PEACHTREE HOME HEALTH, LLC |
| Other Organization Name | BRIDGEWAY HOME HEALTH |
| Practice Address |
2135 Eastview Pkwy Ste 800 Conyers GA 30013-5772 |
| Mailing Address |
1395 S Marietta Pkwy Se Bldg 400 Suite 102 Marietta GA 30067-7852 |
| Practice Telephone | 6788065336 |
| Practice Fax Number | 6788065350 |
| Mailing Telephone | 6789326302 |
| Mailing Fax Number | 6784025246 |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2020-06-22 |
| Authorized Official Name | GARY W RASMUSSEN (PRESIDENT) |
| Authorized Official Telephone | 7704272700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 122 - 195 | GA | Agencies |
| Other Name | Type Code |
|---|---|
| BridgeWay Home Health | Doing Business As Name - Organization |
| Street Address |
2135 EASTVIEW PKWY STE 800 |
| City | CONYERS |
| State | GA |
| Zip Code | 30013-5772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842295 | Fit Therapy, LLC | Physical Therapist | 2008 Eastview Parkway, Suite 150, Conyers, GA 30013 | 2020-05-12 |
| 1144854753 | Atl Optical LLC | Optometrist | 1285 Ga 138, Conyers, GA 30013 | 2020-02-24 |
| 1386201820 | Achundris P Taylor | Social Worker | Harvest Grove Lane, Conyers, GA 30013 | 2019-05-21 |
| 1588153381 | Curbside Medical Transporters | Ambulance | 2404 Brynlyn Woods Dr Ne, Conyers, GA 30013 | 2018-05-07 |
| 1184124877 | Nursing Companion, LLC | Homemaker | 1064 Duke Dr, Conyers, GA 30013 | 2018-02-19 |
| 1588163638 | Atlanta Plus Urgent Care | Clinic/Center | 2121 Salem Rd. Se, Conyers, GA 30013 | 2018-02-05 |
| 1043735244 | Niki Tanyell Davis | Licensed Practical Nurse | 1403 Windy Hill Court, Conyers, GA 30013 | 2017-08-08 |
| 1063941490 | Comprehensive Health and Rehab LLC | Clinic/Center | 2500 Riverton Drive, Conyers, GA 30013 | 2017-06-08 |
| 1306373188 | Graceol Corporation | Family Medicine | 1035 Honey Creek Rd, Conyers, GA 30013 | 2017-05-11 |
| 1881149268 | Jsa Dental Associates Conyers PC | Dentist | 1151 Nor Tec Dr, Suite B, Conyers, GA 30013 | 2016-08-16 |
| Find all providers in zip 30013 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124632096 | Newvisions Home Care, LLC | Home Health | 1611 Ellington Rd Se, Conyers, GA 30013-2185 | 2020-09-08 |
| 1447886478 | Carepoint Health Services Inc | Home Health | 1824 Christopher Dr, Conyers, GA 30094-2734 | 2020-03-21 |
| 1790240117 | Smith Emeri Smith LLC | Home Health | 1775 Parker Rd Se Ste C210, Conyers, GA 30094-6676 | 2019-02-11 |
| 1437621851 | Angel Home Healthcare | Home Health | 867 Commerce Dr Sw Ste 100, Conyers, GA 30094-6604 | 2018-12-24 |
| 1306356852 | Beloved Hearts Residential Care LLC | Home Health | 2443 Brynlyn Woods Dr Ne, Conyers, GA 30013-1440 | 2017-10-10 |
| 1801296728 | Social Services Outreach Inc | Home Health | 10205 Saint James Dr, Conyers, GA 30094-1202 | 2014-08-27 |
| 1336571579 | Trinity Health Care LLC | Home Health | 4811 Ridgedale Ln Se, Conyers, GA 30094-4474 | 2013-07-30 |
| 1417298282 | Xtra Pair of Hands, LLC | Home Health | 2004 Eastview Pkwy, Suite 105, Conyers, GA 30013-5770 | 2013-03-04 |
| 1841534617 | Shannon Womack | Home Health | 1775 Parker Rd Se Ste 200, Conyers, GA 30094-6654 | 2012-11-19 |
| 1902154693 | Angel's Landing Healthcare Services, Inc. | Home Health | 1631 Smyrna Rd Sw, Conyers, GA 30094-6156 | 2012-08-28 |
| Find all providers in CONYERS | ||||
Please comment or provide details below to improve the information on PEACHTREE HOME HEALTH, LLC.
| 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.