MERCY'S QUALITY HOME CARE, LLC300562457 (NPI# 1053732842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053732842 |
| Entity Type | Organization |
| Organization Name | MERCY'S QUALITY HOME CARE, LLC300562457 |
| Practice Address |
120 Northberry St. Suite 101 Stockbridge GA 30281-1093 |
| Practice Telephone | 6786087151 |
| Practice Fax Number | 6782899256 |
| Mailing Telephone | 6786087151 |
| Mailing Fax Number | 6782899256 |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2013-12-20 |
| Authorized Official Name | MS. MERCY EKPOUDOM (NURSING ADMISTRATOR) |
| Authorized Official Telephone | 6789788220 |
| Authorized Official Credential | REGISTERED NURSE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3140N1450X |
Skilled Nursing Facility Specialization: Nursing Care, Pediatric |
075-R-1030 | GA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICAID PROVIDER # | 003137789A | 01 |
| GA | MEDICAID PROVIDER # | 003137788A | 01 |
| Street Address |
120 NORTHBERRY ST. SUITE 101 |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281-1093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
| 1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
| 1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
| 1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
| 1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
| 1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
| 1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
| 1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
| 1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
| 1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
| Find all providers in zip 30281 | ||||
| Taxonomy Code | 3140N1450X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| Specialization | Nursing Care, Pediatric |
| A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447731484 | Shaydrea L Chapman | Skilled Nursing Facility | 337 Martin Dr, Jonesboro, GA 30238-5764 | 2018-08-28 |
| 1598253684 | Comfort Community Center, LLC | Skilled Nursing Facility | 2440 Sandy Plains Road, Blvd 21, Suite 100, Marietta, GA 30066 | 2018-04-25 |
| 1306399936 | Dickson Osanu | Skilled Nursing Facility | 4405 Mall Blvd Ste 315, Union City, GA 30291-2070 | 2016-08-01 |
| 1568802239 | Elite Care Angels Inc | Skilled Nursing Facility | 571 Pennylake Ln, Stone Mountain, GA 30087-5769 | 2013-06-26 |
| 1841575354 | Latoya Winston | Skilled Nursing Facility | 3253 Diamond Blf, Union City, GA 30291 | 2011-10-15 |
| 1235379405 | Dc Enterprise | Skilled Nursing Facility | 285 Wild Iris Ln, Clarkesville, GA 30523-1849 | 2009-03-02 |
| 1396900247 | Childrens Healthcare of Atlanta | Skilled Nursing Facility | 494 Rising Sun Path, Lawrenceville, GA 30043-3169 | 2008-07-21 |
| 1558545665 | Regina Nateya Cooks | Skilled Nursing Facility | 4940 Peachtree Industrial Blvd, 310, Norcross, GA 30071-1599 | 2007-12-26 |
| 1083796106 | Ckcg Healthcare Services,inc | Skilled Nursing Facility | 5995 Oakbrook Pkwy, Suite -b, Norcross, GA 30093 | 2006-10-19 |
| 1003845967 | The Nathaniel Watson, Jr. Memorial Foundation, Inc | Skilled Nursing Facility | 506 Calgary Glen Drive Sw, Austell, GA 30168-7284 | 2006-07-02 |
| Find all providers with the same taxonomy | ||||
| City | STOCKBRIDGE |
| Zip Code | 30281 |
Please comment or provide details below to improve the information on MERCY'S QUALITY HOME CARE, LLC300562457.
| 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.