STAY WELL CARE SOLUTIONS, INC.


Address: 22 Executive Park Drive Ne, Atlanta, GA 30329-2206
Phone: 4045512363

STAY WELL CARE SOLUTIONS, INC. (NPI# 1114127883) 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) 1114127883
Entity Type Organization
Organization Name STAY WELL CARE SOLUTIONS, INC.
Practice Address 22 Executive Park Drive Ne
Atlanta
GA 30329-2206
Mailing Address 22 Executive Park Dr Ne
Suite 2250
Atlanta
GA 30329-2206
Practice Telephone 4045512363
Enumeration Date 2007-07-20
Last Update Date 2007-07-20
Authorized Official Name YANINA KUZNETSOV (TREASURER)
Authorized Official Telephone 2018894327
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA0600X Clinic/Center
Specialization: Adult Day Care
GA Ambulatory Health Care Facilities

Office Location

Street Address 22 EXECUTIVE PARK DRIVE NE
City ATLANTA
State GA
Zip Code 30329-2206

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1912409392 Joie De Vivre Counseling and Therapy Counselor 2801 Buford Highway, Ne, Atlanta, GA 30329 2018-03-01
1902329105 Barbara Dunbar Psychologist 1777 Northeast Expressway, #175, Atlanta, GA 30329 2017-07-19
1114449048 Cricket Cheyenne Gullickson Student in an Organized Health Care Education/Training Program 1371 Briarvista Way Ne, Atlanta, GA 30329 2017-07-12
1902357866 Carla Zimmerly Nurse Practitioner 1711 Tullie Circle, Atlanta, GA 30329 2016-10-17
1316490808 Shahzad Ghori Student in an Organized Health Care Education/Training Program 1727 Druid Oaks Ne, Atlanta, GA 30329 2016-08-01
1023467768 Ashley Elliott Physician Assistant 59 Executive Park, Atlanta, GA 30329 2016-06-03
1285096115 Kimberley Fox Internal Medicine 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 2016-03-21
1275991648 Mary Patricia Joyce Internal Medicine 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 2016-02-01
1346656618 Amelia Muniz Hernandez Pediatrics 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 2014-07-08
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Taxonomy Information

Taxonomy Code 261QA0600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Day Care

Taxonomy Definition

Definition to come...

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1033665039 Liberty Group Senior Services Clinic/Center 1879 Glenwood Avenue, Atlanta, GA 30316 2016-08-30
1235406711 Safe Haven Lenox Park Clinic/Center 1137 Lynmoor Dr Ne, Atlanta, GA 30319-4125 2011-11-28
1952531956 Mims Care Home Clinic/Center 1589 Mims St Sw, Atlanta, GA 30314-2255 2009-07-24
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Competitor

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City ATLANTA
Zip Code 30329

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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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