BOLTON AND BOLTON COMMUNITY SERVICES (NPI# 1114578143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114578143 |
| Entity Type | Organization |
| Organization Name | BOLTON AND BOLTON COMMUNITY SERVICES |
| Practice Address |
1631 Callaway Loop Conyers GA 30012-3672 |
| Practice Telephone | 6788793043 |
| Mailing Telephone | 6788793043 |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-09-20 |
| Authorized Official Name | KORTNEY LAKILY BOLTON (OWNER) |
| Authorized Official Telephone | 6788793043 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 251B00000X | Case Management | Agencies |
| Street Address |
1631 CALLAWAY LOOP |
| City | CONYERS |
| State | GA |
| Zip Code | 30012-3672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437370434 | Brandy Elisher Coffee | Nutritionist | 1631 Callaway Loop, Conyers, GA 30012-3672 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188306 | The Eye Md | Ophthalmology | 1359 Milstead Road, Suite #103, Conyers, GA 30012 | 2020-06-08 |
| 1043855836 | Maurvet Minto | Counselor | 1175 Green St, Conyers, Conyers, GA 30012 | 2019-11-15 |
| 1770054561 | Sarah Elizabeth Brooks | Physical Medicine & Rehabilitation | 1290 Milstead Ave Ne, Conyers, GA 30012 | 2018-12-06 |
| 1679091276 | Valorie Antoinette Jones | Counselor | 1175 Green St Se, Conyers, GA 30012 | 2017-09-02 |
| 1558886341 | Synergy Radiology, LLC | Radiology | 1501 Milstead Road, Suite 140, Conyers, GA 30012 | 2017-08-14 |
| 1558813295 | Salon Lyon, LLC | Specialist | 1112 West Ave, Se, B, Conyers, GA 30012 | 2016-10-28 |
| 1992252753 | Traci Hunter Bryan | Pharmacist | 1501 Milstead Ave Ne, Suite 110, Conyers, GA 30012 | 2016-09-08 |
| 1316491830 | Hye Rim Kim | Anesthesiologist Assistant | 1380 Milstead Rd Ne, Suite G, Conyers, GA 30012 | 2016-08-12 |
| 1235591397 | David Jeffrey Wasserman | Optometrist | 1192 Dogwood Dr Sw, Conyers, GA 30012 | 2016-03-28 |
| 1174919187 | Anique Archer | Health Educator | 2170 Lester Rd Nw, Conyers, GA 30012 | 2015-04-07 |
| Find all providers in zip 30012 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124598503 | C & A W (sc) Limited Liability Company | Case Management | 2553 Old Covington Rd Ne, Conyers, GA 30013-1413 | 2018-11-28 |
| 1679097992 | Sheira Dennis | Case Management | 3828 Martingale Dr Se, Conyers, GA 30094 | 2017-07-28 |
| 1245659804 | Georgia Hope Inc | Case Management | 4915 Lake Forest Dr Se, Conyers, GA 30094-4427 | 2014-04-10 |
| 1114365046 | Integrity Staffing | Case Management | 1711 Holmes Dr Sw, Conyers, GA 30094-4725 | 2013-06-13 |
| 1609210582 | Interconnected Family and Children Services LLC | Case Management | 1257 Commercial Dr Sw # Sr, Conyers, GA 30094-5991 | 2013-04-23 |
| 1043553258 | Steps for Change Behavioral Healthcare LLC | Case Management | 2385 Wall St Se Ste 117, Conyers, GA 30013-2187 | 2013-04-05 |
| 1386004026 | Taurasa Chanel Cox | Case Management | 1226 Royal Dr Sw, Ste D, Conyers, GA 30094-5925 | 2016-02-23 |
| 1962897983 | Famcare Connect of Georgia LLC | Case Management | 1172 Old Salem Rd Se, Conyers, GA 30094-5944 | 2015-04-06 |
| 1912144809 | Life Pointe Center | Case Management | 2047 Gees Mill Rd Ne, Suite 218, Conyers, GA 30013-1359 | 2009-01-14 |
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| 1952902835 | Physicans At Home, LLC | Case Management | 1850 Blackwater Dr, Marietta, GA 30066-6712 | 2020-11-05 |
| 1699374934 | Primary Health Care Resource Service, Lp | Case Management | 5405 Memorial Dr Ste 101, Stone Mountain, GA 30083-3234 | 2020-10-19 |
| 1235736182 | Think Big Youth Organization LLC | Case Management | 9784 E Oglethorpe Hwy Ste C, Midway, GA 31320-4546 | 2020-10-05 |
| 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.