ELLSWORTH HEALTHCARE STAFFING LLC (NPI# 1093292021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093292021 |
| Entity Type | Organization |
| Organization Name | ELLSWORTH HEALTHCARE STAFFING LLC |
| Practice Address |
160 Clairemont Ave Ste 200 Decatur GA 30030-2546 |
| Practice Telephone | 4048068164 |
| Practice Fax Number | 4043690404 |
| Mailing Telephone | 4048068164 |
| Mailing Fax Number | 4043690404 |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-07-23 |
| Authorized Official Name | TERRI LAWSON-ADAMS (CEO/DIRECTOR) |
| Authorized Official Telephone | 4048068164 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251J00000X | Nursing Care | 044-R-1972 | GA | Agencies |
| Y | 253Z00000X | In Home Supportive Care | 044-R-1972 | GA | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ELLSWORTH HEALTHCARE STAFFING LLC | 160 Clairemont Ave Ste 200, Decatur, GA 30030-2546 |
| Street Address |
160 CLAIREMONT AVE STE 200 |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-2546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790084937 | Oni Twanisha Roberts | Massage Therapist | 160 Clairemont Ave Ste 200, Decatur, GA 30030-2546 | 2011-03-25 |
| 1134735236 | Katherine Allen | Behavior Technician | 160 Clairemont Ave Ste 200, Decatur, GA 30030-2546 | 2020-09-23 |
| 1033725247 | Emily Mitchell | Behavior Technician | 160 Clairemont Ave Ste 200, Decatur, GA 30030-2546 | 2020-09-22 |
| 1043850183 | Kellie Elizabeth Tomlinson | Behavior Technician | 160 Clairemont Ave Ste 200, Decatur, GA 30030-2546 | 2020-01-07 |
| 1578102729 | Core Elements Counseling & Consultation | Psychologist | 160 Clairemont Ave Ste 200, Decatur, GA 30030-2546 | 2020-01-04 |
| 1396389995 | Tristin Jackson | Behavior Technician | 160 Clairemont Ave Ste 200, Decatur, GA 30030-2546 | 2019-11-06 |
| 1346881158 | National Benefits Services | Durable Medical Equipment & Medical Supplies | 160 Clairemont Ave Ste 200, Decatur, GA 30030-2546 | 2019-10-02 |
| 1346881513 | Monica Maria Wadley | Behavior Technician | 160 Clairemont Ave Ste 200, Decatur, GA 30030-2546 | 2019-09-30 |
| 1902450935 | Khadija Lynnette Highsmith | Behavior Technician | 160 Clairemont Ave Ste 200, Decatur, GA 30030-2546 | 2019-07-29 |
| 1134773484 | Syrina Merilan | Behavior Technician | 160 Clairemont Ave Ste 200, Decatur, GA 30030-2546 | 2019-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| Find all providers in zip 30030 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245859867 | Staffsure LLC | In Home Supportive Care | 549 Daniel Ave, Decatur, GA 30032-4011 | 2020-04-14 |
| 1750847547 | Right-hand Help Care, LLC. | In Home Supportive Care | 3207 Bobbie Ln, Decatur, GA 30032-2422 | 2019-02-16 |
| 1316451586 | Champion Companions of Atlanta LLC | In Home Supportive Care | 3100 Lumby Dr Apt 626, Decatur, GA 30034-7602 | 2017-11-27 |
| 1235588526 | Elicade, LLC | In Home Supportive Care | 443 Pine Ave Sw, Decatur, AL 35601-7631 | 2016-06-07 |
| 1588011266 | Havenoaks Services, Inc | In Home Supportive Care | 1456 Mclendon Dr, Suite A, Decatur, GA 30033-1848 | 2016-05-23 |
| 1124473863 | Sunbridge Home Health Care, Inc. | In Home Supportive Care | 303 2nd Ave Se, Decatur, AL 35601-2325 | 2016-05-02 |
| 1356712830 | Professional Medical Institute Inc Dba Professional Medical Home Care | In Home Supportive Care | 4336 Covington Hwy, Suite 202, Decatur, GA 30035-1211 | 2015-10-09 |
| 1225436751 | God's Helper's Private Home Care, LLC | In Home Supportive Care | 1916 Willa Dr, Decatur, GA 30032 | 2014-12-16 |
| 1487086856 | Angel Arms Senior Home Care | In Home Supportive Care | 522 14th St Se, Decatur, AL 35601-5908 | 2013-08-07 |
| 1881963577 | Secured Care Home Health Services Inc. | In Home Supportive Care | 2964 Ember Dr, Suite 137, Decatur, GA 30034-1505 | 2011-12-26 |
| Find all providers in DECATUR | ||||
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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.