SIMPLICITYS PERSONAL CARE HOME LLC (NPI# 1053934802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053934802 |
Entity Type | Organization |
Organization Name | SIMPLICITYS PERSONAL CARE HOME LLC |
Practice Address |
6741 Church St Ste 2 Riverdale GA 30274-2249 |
Mailing Address |
Po Box 11 Atlanta GA 30301-0011 |
Practice Telephone | 6788867320 |
Enumeration Date | 2020-05-27 |
Last Update Date | 2020-05-27 |
Authorized Official Name | VALERIE RACHEL (ADMINISTRATOR) |
Authorized Official Telephone | 6788867320 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
Street Address |
6741 CHURCH ST STE 2 |
City | RIVERDALE |
State | GA |
Zip Code | 30274-2249 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245862507 | Todd L. Reed | Chiropractor | 83 Upper Riverdale Rd, Riverdale, GA 30274 | 2020-02-05 |
1487135992 | Freddie L Sallette IIi | Technician, Pathology | 385 Brookview Dr, Riverdale, GA 30274 | 2018-08-22 |
1366933210 | Dawn A. Paul | Nurse Practitioner | 238 Professional Ct Ste A, Riverdale, GA 30274 | 2018-05-27 |
1851894588 | Absolute Health Family & Urgent Care Clinic | Clinic/Center | 7574 Ga 85, Riverdale, GA 30274 | 2018-03-08 |
1366972127 | Jamillah Ingram | Physical Therapy Assistant | 315 Upper Riverdale Rd., Riverdale, GA 30274 | 2017-06-14 |
1114456514 | Grace L Kelson | Licensed Practical Nurse | 9142 Clubhouse Dr, Riverdale, GA 30274 | 2017-06-08 |
1790167799 | Cristian Carbuccia | Internal Medicine | 33 Upper Riverdale Rd Sw Ste 10, Riverdale, GA 30274 | 2015-06-25 |
1265857692 | Right Choice Enterprises LLC | Technician | 638 Sterling Ct, Riverdale, GA 30274 | 2014-02-21 |
1942571625 | Lowes Guardian Angel LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7056 Eunice Dr., Riverdale, GA 30274 | 2012-01-26 |
1508134156 | Education System Management, Inc | Social Worker | 125 Highway 138, Riverdale, GA 30274 | 2011-12-12 |
Find all providers in zip 30274 |
Taxonomy Code | 3747P1801X |
Grouping | Nursing Service Related Providers |
Classification | Technician |
Specialization | Personal Care Attendant |
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
Notes: [7/1/2003: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558900365 | Meron T Tekle | Technician | 6357 64th Ave Apt F6, Riverdale, MD 20737-1501 | 2019-12-26 |
1467918292 | Brenton Jones | Technician | 5409 Riverdale Rd Apt L5, Riverdale, MD 20737-2360 | 2019-02-18 |
1215454004 | Anita Yassin | Technician | 5711 Sarvis Ave # 608, Riverdale, MD 20737-1394 | 2017-08-23 |
1265857692 | Right Choice Enterprises LLC | Technician | 638 Sterling Ct, Riverdale, GA 30274 | 2014-02-21 |
1750884920 | Mahawah Turay | Technician | 5711 Sarvis Ave Ste 608, Riverdale, MD 20737-1394 | 2018-03-14 |
1487155818 | Kalar Andrea Baker | Technician | 6823d Riverdale Rd, Riverdale, MD 20737-1835 | 2018-02-21 |
1649780511 | Nyincho Emmerencia Epse Ayuk | Technician | 5711 Sarvis Ave Ste 608, Riverdale, MD 20737-1394 | 2017-10-05 |
1437669306 | Laquonia Jenkins | Technician | 5711 Sarvis Ave Ste 608, Riverdale, MD 20737-1394 | 2017-10-05 |
1306356332 | Nancy Taku Aka | Technician | 5711 Sarvis Ave Ste 608, Riverdale, MD 20737-1394 | 2017-10-04 |
1619494408 | Ashley Thompson | Technician | 5711 Sarvis Ave Ste 608, Riverdale, MD 20737-1394 | 2017-08-23 |
Find all providers in RIVERDALE |
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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.