EASTER SEALS SOUTHERN GEORGIA INC. (NPI# 1124085451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124085451 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS SOUTHERN GEORGIA INC. |
| Practice Address |
1906 Palmyra Rd Albany GA 31701-1575 |
| Practice Telephone | 2294397061 |
| Practice Fax Number | 2294392824 |
| Mailing Telephone | 2294397061 |
| Mailing Fax Number | 2294392824 |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2017-01-20 |
| Authorized Official Name | MR. MATTHEW HATCHER (CFO) |
| Authorized Official Telephone | 2294397061 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 047-R-0011 | GA | Residential Treatment Facilities |
| N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
047-R-011 | GA | Respite Care Facility |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 047-R-0011 | GA | Suppliers |
| Y | 251C00000X | Day Training, Developmentally Disabled Services | 047-R-0011 | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000551405AX | 05 | |
| GA | 000551405BC | 05 | |
| GA | 000551405BG | 05 | |
| GA | 000551405BN | 05 | |
| GA | 000551405D | 05 | |
| GA | 000551405AI | 05 | |
| GA | 000551405AW | 05 | |
| GA | 000551405BB | 05 | |
| GA | 000693844S | 05 | |
| GA | 000551405BA | 05 | |
| GA | 000551405BE | 05 | |
| GA | 000551405F | 05 | |
| GA | 000693844Q | 05 | |
| GA | 000693844X | 05 | |
| GA | 000551405AY | 05 | |
| GA | 000551405BI | 05 | |
| GA | 000551405BM | 05 | |
| GA | 000551405J | 05 | |
| GA | 000693844B | 05 | |
| GA | 000693844C | 05 | |
| GA | 000693844N | 05 | |
| GA | 000693844V | 05 | |
| GA | 000693844W | 05 | |
| GA | 000551405AK | 05 | |
| GA | 000551405BF | 05 | |
| GA | 000551405BO | 05 | |
| GA | 000520528A | 05 | |
| GA | 000551405A | 05 | |
| GA | 000693844O | 05 | |
| GA | 000551405AZ | 05 | |
| GA | 000551405BH | 05 | |
| GA | 000551405BL | 05 | |
| GA | 000639844T | 05 |
| Street Address |
1906 PALMYRA RD |
| City | ALBANY |
| State | GA |
| Zip Code | 31701-1575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295017325 | Easter Seals Southern Ga. | Day Training, Developmentally Disabled Services | 1906 Palmyra Rd, Albany, GA 31701-1575 | 2011-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124678347 | Carehere LLC | Family Medicine | Carehere Clinic- City of Albany, Ga, 2000 North Monroe Street, Albany, GA 31701 | 2019-09-19 |
| 1801450788 | Amy Brock | Nurse Practitioner | 417 4th Avenue, Albany, GA 31701 | 2019-04-26 |
| 1346740131 | Kawana Kesia Mullins | Contractor | 1103 S Davis St, Albany, GA 31701 | 2018-02-19 |
| 1689198558 | Marion Elizabeth Toscano | Counselor | 226 South Jefferson Street, Frederick, MD 31701 | 2017-08-01 |
| 1871014803 | Mann Dental Care LLC | Clinic/Center | 1403 South Slappey Blvd, Albany, GA 31701 | 2017-06-29 |
| 1457716805 | Amanda Banks Thomas | Advanced Practice Midwife | 803 13th Avenue, Albany, GA 31701 | 2015-12-29 |
| 1265805212 | David Lee Berry Jr. | Counselor | 230 South Jackson Street, Suite 228 & 229, Albany, GA 31701 | 2015-11-12 |
| 1750725099 | Charles Jacob Stoudenmire | Pathology | 507 W 3rd Ave Ste 7, Albany, GA 31701 | 2013-04-17 |
| 1700188232 | Wendy Summer Willis | Podiatrist | 531 Seventh Avenue, Albany, GA 31701 | 2010-12-05 |
| 1760615413 | Nicholas L Misulia | Anesthesiology | 417 Third Avenue, Albany, GA 31701 | 2009-08-28 |
| Find all providers in zip 31701 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396088332 | Early Childhood Education Center | Day Training, Developmentally Disabled Services | 251 Washington Ave Extension, Albany, NY 12205 | 2013-03-28 |
| 1295017325 | Easter Seals Southern Ga. | Day Training, Developmentally Disabled Services | 1906 Palmyra Rd, Albany, GA 31701-1575 | 2011-09-14 |
| 1790066819 | Parsons Child and Family Center | Day Training, Developmentally Disabled Services | 60 Academy Rd, Albany, NY 12208-3103 | 2011-09-02 |
| 1245391028 | State of Missouri | Day Training, Developmentally Disabled Services | 809 N 13th St, Albany, MO 64402 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482397 | A Better Life Together, Inc | Day Training, Developmentally Disabled Services | 3343 Woodshade Drive, Loganville, GA 30052 | 2020-09-18 |
| 1225643653 | Auesome Achiever LLC | Day Training, Developmentally Disabled Services | 601 Alcovy St, Monroe, GA 30655-2145 | 2020-09-11 |
| 1457962797 | Southeastern Support Care Services LLC | Day Training, Developmentally Disabled Services | 3523 Fuller St, Columbus, GA 31907-2554 | 2020-08-11 |
| 1548870363 | Heart Helping Hands, LLC | Day Training, Developmentally Disabled Services | 1919 Singer Way, Lithonia, GA 30058-5578 | 2020-08-06 |
| 1073121646 | Jo Anne Ragsdale | Day Training, Developmentally Disabled Services | 4916 Lake Park Ln, Acworth, GA 30101-6253 | 2020-07-20 |
| 1447877683 | Jeremy's Place Inc. | Day Training, Developmentally Disabled Services | 4910 Jonesboro Rd Ste 201, Union City, GA 30291-2087 | 2020-07-04 |
| 1457970626 | The J&r Group Ga I Nc. | Day Training, Developmentally Disabled Services | 1910 Wood Valley Rd, Macon, GA 31211-1619 | 2020-04-08 |
| 1497307425 | Bobby Dodd Institute | Day Training, Developmentally Disabled Services | 2120 Marietta Blvd Nw, Atlanta, GA 30318-2122 | 2019-07-10 |
| 1619537453 | Cherryl Miller | Day Training, Developmentally Disabled Services | 1499 Ravenel Rd, Conley, GA 30288-2226 | 2019-06-14 |
| 1821555913 | Community Service Board of Middle Georgia | Day Training, Developmentally Disabled Services | 1444 Morgan Creek Dr, Eastman, GA 31023 | 2019-02-25 |
| 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.