TEMPLE PERSONAL CARE HOME LLC


Address: 838 Shadybrook Dr Ne, Marietta, GA 30066-6215
Phone: 4046601571

TEMPLE PERSONAL CARE HOME LLC (NPI# 1083263545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083263545
Entity Type Organization
Organization Name TEMPLE PERSONAL CARE HOME LLC
Practice Address 838 Shadybrook Dr Ne
Marietta
GA 30066-6215
Practice Telephone 4046601571
Mailing Telephone 4046601571
Enumeration Date 2019-09-08
Last Update Date 2019-09-08
Authorized Official Name MARIE GERTRUDE BITOTA TSHIMANGA (DIRECTOR)
Authorized Official Telephone 4046601571
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 376G00000X Nursing Home Administrator Nursing Service Related Providers

Office Location

Street Address 838 SHADYBROOK DR NE
City MARIETTA
State GA
Zip Code 30066-6215

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598253684 Comfort Community Center, LLC Skilled Nursing Facility 2440 Sandy Plains Road, Blvd 21, Suite 100, Marietta, GA 30066 2018-04-25
1538681994 Passionate Care In Home Supportive Care 1110 Renfro Ln., Marietta, GA 30066 2017-07-07
1437510443 Steven Caras Internal Medicine 2682 Bonaire Terrace, Marietta, GA 30066 2016-03-18
1275918781 Latifat Bolajoko Asemota Nurse Practitioner 410 Nottingham Dr, Marietta, GA 30066 2015-07-26
1497094205 Changing Phases Behavioral Support, Inc Internal Medicine 3655 Canton Rd Ste 201, Marietta, GA 30066 2013-02-14
1659618916 Alison Nicole Sims Occupational Therapist 2465 Canopy Drive, Marietta, GA 30066 2013-01-07
1790044907 Antoine Jose Davenport Massage Therapist 4686 Jamerson Creek Dr, Marietta, GA 30066 2012-05-08
1174898548 Angel Elizabeth Nofziger Nurse Practitioner 3750 Palladian Village Dr Ste 300, Marietta, GA 30066 2012-03-18
1912298019 Nancy Jean Slack Pharmacist 2833 Canton Road, Marietta, GA 30066 2011-04-22
1336456078 Mario B Miller Sr. Chiropractor 50 Barrett Parkway, Suite 3005#126, Marietta, GA 30066 2010-09-01
Find all providers in zip 30066

Taxonomy Information

Taxonomy Code 376G00000X
Grouping Nursing Service Related Providers
Classification Nursing Home Administrator

Taxonomy Definition

An individual, often licensed by the state, who is responsible for the management of a nursing home.
Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1992353072 Oliver Eberechukwu Nosiri Nursing Home Administrator 2677 Cimmaron Trl, Lithia Springs, GA 30122-2796 2019-08-31
1548817893 Curtis Jefferson Nursing Home Administrator 718 Walden Run Pl, Mcdonough, GA 30253-7008 2019-08-21
1407236045 Patrice M Jackson-weathers Nursing Home Administrator 325 Willow Ridge Way, Avondale Estates, GA 30002-1284 2015-06-08
1174938864 Rita Gceo Douglas Nursing Home Administrator 313 New Echota Way, Woodstock, GA 30189-7001 2014-06-22
1710234646 Rondine O Gordon Nursing Home Administrator 5503 Mountain View Pass, Stone Mountain, GA 30087-6020 2012-08-09
1780953018 Dade Community Living Arrangement (cla) Nursing Home Administrator 1289 Macedonia Church Rd., Oxford, GA 30054-3651 2011-12-15
1720621592 Floyd Billups Nursing Home Administrator 5637 La Fleur Trl, Lithonia, GA 30038-2846 2019-10-23
1104255421 Sandy Williams Nursing Home Administrator 833 Arlington Dr, Columbus, GA 31907-7302 2013-11-07
1861423428 Olubusola Ogundipe Nursing Home Administrator 7823 Spivey Station Blvd, Suite 210, Jonesboro, GA 30236-2886 2006-07-05

Competitor

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City MARIETTA
Zip Code 30066

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Dataset Information

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.

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