LEGACY LINK, INC (NPI# 1124197348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124197348 |
| Entity Type | Organization |
| Organization Name | LEGACY LINK, INC |
| Other Organization Name | AREA AGENCY ON AGING |
| Practice Address |
508 Oak St Suite 1 Gainesville GA 30501-3576 |
| Practice Telephone | 7705382650 |
| Practice Fax Number | 7705382660 |
| Mailing Telephone | 7705382650 |
| Mailing Fax Number | 7705382660 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. PAT FREEMAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7705382650 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251X00000X | Supports Brokerage | Agencies |
| Other Name | Type Code |
|---|---|
| Area Agency on Aging | Other Name - Individual/Organization |
| Street Address |
508 OAK ST SUITE 1 |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 251X00000X |
| Grouping | Agencies |
| Classification | Supports Brokerage |
| A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services. |
| Notes: Source: CMS Independence Plus Waiver template. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336699487 | Th Financial Group | Supports Brokerage | 6053 Oakbrook Pkwy, Norcross, GA 30093-1701 | 2016-10-12 |
| 1417365222 | Language Link LLC | Supports Brokerage | 685 River Overlook Dr, Lawrenceville, GA 30043-5380 | 2014-07-24 |
| 1396172334 | Town Central Insurance | Supports Brokerage | 748 Stonecypher St, Cornelia, GA 30531-2456 | 2013-10-06 |
| 1881776508 | Floyd County Health Department | Supports Brokerage | 16 E 12th St Sw, Rome, GA 30161-4720 | 2006-10-20 |
| 1447688262 | Town Central Insurance | Supports Brokerage | 748 Stonecypher St, Cornelia, GA 30531-2456 | 2013-10-15 |
| 1316280266 | World Services | Supports Brokerage | 1954 Airport Rd Ste 201, Atlanta, GA 30341-4953 | 2013-03-28 |
| 1205145414 | Provider Resource Solutions LLC | Supports Brokerage | 101 Beckett Ln, Fayetteville, GA 30214-7155 | 2010-10-05 |
| 1548366685 | Dekalb County Board of Health | Supports Brokerage | 30 Warren St Se, Atlanta, GA 30317-2267 | 2006-09-16 |
| 1003912155 | Dekalb County Board of Health | Supports Brokerage | 2277 Stone Mountain Lithonia Rd, Lithonia, GA 30058-5252 | 2006-09-16 |
| 1356447411 | Dekalb County Board of Health | Supports Brokerage | 3110 Clifton Springs Rd, Decatur, GA 30034-4600 | 2006-09-16 |
| Find all providers with the same taxonomy | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
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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.