GREENLINE HEALTH SERVICES, INC (NPI# 1154772762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154772762 |
Entity Type | Organization |
Organization Name | GREENLINE HEALTH SERVICES, INC |
Practice Address |
1572 Highway 85 N Suite 338 Fayetteville GA 30214 |
Mailing Address |
7360 Hobgood Rd Fairburn GA 30213-2684 |
Practice Telephone | 6788859765 |
Practice Fax Number | 6788859764 |
Mailing Telephone | 6788859765 |
Mailing Fax Number | 6788859764 |
Enumeration Date | 2016-06-24 |
Last Update Date | 2017-04-20 |
Authorized Official Name | MR. CHARLES L FULLER (ADMINISTRATOR) |
Authorized Official Telephone | 6784634666 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251E00000X | Home Health | 060-R-1398 | GA | Agencies |
Street Address |
1572 HIGHWAY 85 N SUITE 338 |
City | FAYETTEVILLE |
State | GA |
Zip Code | 30214 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942545959 | Bonita Hunt | Student in an Organized Health Care Education/Training Program | 1572 Highway 85 N, Suite 340, Fayetteville, GA 30214-4054 | 2012-12-02 |
1487036778 | Patricia Pauline Murphy | Driver | 1572 Highway 85 N, Suite 611, Fayetteville, GA 30214-4054 | 2015-06-23 |
1942630504 | Constance Russell | Adult Companion | 1572 Highway 85 N, Fayetteville, GA 30214-4054 | 2013-11-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
Find all providers in zip 30214 |
Taxonomy Code | 251E00000X |
Grouping | Agencies |
Classification | Home Health |
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073112645 | Brothers Helping Hands of Nc | Home Health | 347 St Thomas Rd, Fayetteville, NC 28311-2966 | 2020-10-23 |
1538779350 | Beas Private Home Care | Home Health | 155 Handshaker Ct, Fayetteville, GA 30215-7404 | 2020-08-06 |
1205455367 | Felicia M Mcdonald | Home Health | 951 S Mcpherson Church Rd Ste 103b, Fayetteville, NC 28303-5383 | 2020-04-09 |
1487289518 | It-s About You, Inc | Home Health | 5425 Murchison Rd Ste A, Fayetteville, NC 28311-2251 | 2020-03-09 |
1629617691 | Our House Inc. | Home Health | 814 Hope Mills Rd Ste B, Fayetteville, NC 28304-2223 | 2019-12-23 |
1063050219 | Barbara King Home Agency Inc | Home Health | 108 Hay St Ste 216, Fayetteville, NC 28301-5686 | 2019-12-18 |
1427691500 | Pristine Care Group, LLC | Home Health | 1507 Grandview Drive, Fayetteville, NC 28314-1806 | 2019-10-22 |
1558911636 | Lila Huff | Home Health | 111 Lamon St Ste 114, Fayetteville, NC 28301-4917 | 2019-09-19 |
1043875321 | Nurturing Hearts Home Health Care Inc. | Home Health | 185 Seawright Dr, Fayetteville, GA 30215-5292 | 2019-05-02 |
1982184974 | Amelias Den Personal Care Home Inc | Home Health | 101 Devant St Ste 105, Fayetteville, GA 30214-2711 | 2018-08-19 |
Find all providers in FAYETTEVILLE |
City | FAYETTEVILLE |
Zip Code | 30214 |
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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.