J & M SERENE CARE, LLC (NPI# 1083246797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083246797 |
| Entity Type | Organization |
| Organization Name | J & M SERENE CARE, LLC |
| Practice Address |
902 June Dr Montezuma GA 31063-1021 |
| Practice Telephone | 4782449390 |
| Mailing Telephone | 4782449390 |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |
| Authorized Official Name | LUCILLE BROWN (CEO) |
| Authorized Official Telephone | 4782449390 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 251E00000X | Home Health | Agencies | ||
| N | 252Y00000X | Early Intervention Provider Agency | Agencies | ||
| N | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities | ||
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 251B00000X | Case Management | Agencies |
| Street Address |
902 JUNE DR |
| City | MONTEZUMA |
| State | GA |
| Zip Code | 31063-1021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609408319 | Lucille Brown | Social Worker | 902 June Dr, Montezuma, GA 31063-1021 | 2020-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240939 | Elizabeth Cupp Greene | Nurse Practitioner | 506c Spaulding Road, Suite B, Montezuma, GA 31063 | 2020-06-17 |
| 1013308311 | Margo Renee Gaskins | Nurse Practitioner | 506 C Spaulding Rd, Suite B, Montezuma, GA 31063 | 2015-02-09 |
| 1407252638 | Careconnect Health, Inc. | Clinic/Center | 506-c Spaulding Road, Suite B, Montezuma, GA 31063 | 2014-11-17 |
| 1861802134 | Freds Stores of Tennessee Inc | Pharmacy | 201 Walnut Street, Montezuma, GA 31063 | 2014-05-07 |
| 1588093637 | Premier Healthcare Investments | Medicare Defined Swing Bed Unit | 509 Sumter, Montezuma, GA 31063 | 2013-11-08 |
| 1194873661 | Charlene Marie Hanson | Nurse Practitioner | Flint River Hospital, 509 Sumpter Street, Montezuma, GA 31063 | 2007-01-08 |
| 1235201138 | John D Hames | Pharmacist | 112 S Dooly St, Montezuma, GA 31063 | 2006-11-15 |
| 1093888687 | Quincy Jerome Jordan Sr. | Family Medicine | 509 Sumter St, Montezuma, GA 31063 | 2006-11-15 |
| 1073129896 | Lotus Nest Counseling Services LLC | Marriage & Family Therapist | 906 Weathers Dr, Montezuma, GA 31063-1016 | 2020-09-17 |
| 1114316361 | Ashley Nichole Sanders | Dentist | 607 N Dooly St, Montezuma, GA 31063-1309 | 2015-01-12 |
| Find all providers in zip 31063 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
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|---|---|---|---|---|
| 1770955536 | Heartland Pediatric Feeding Disorders Services | Case Management | 121 Horseshoe Dr, Montezuma, IA 50171-8416 | 2015-10-20 |
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| 1861008344 | Forever Home Care LLP | Case Management | 337 Oakview Way, Canton, GA 30114-1805 | 2020-09-20 |
| 1013523885 | Kingdom Expressions Atl LLC | Case Management | 101 W Campbellton St, Fairburn, GA 30213-1218 | 2020-09-17 |
| 1942814959 | The Evolve Center of Counseling & Coaching | Case Management | 8509 Dunwoody Pl, Atlanta, GA 30350-3330 | 2020-09-08 |
| 1245843671 | Talent Squad, LLC | Case Management | 4004 Castle Way, Fairburn, GA 30213-4712 | 2020-08-25 |
| 1477173706 | Patientory | Case Management | 3423 Piedmont Rd Ne Ste 373, Atlanta, GA 30305-1751 | 2020-04-16 |
| 1821626516 | Created2empower Counseling Services,llc | Case Management | 1001 Virginia Ave Ste 330, Atlanta, GA 30354-1367 | 2020-03-30 |
| 1245867795 | Melissa Carol Jenkins | Case Management | 154 Hill Rd, Lyons, GA 30436-4450 | 2020-03-25 |
| Find all providers with the same taxonomy | ||||
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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.