ATHENS COMMUNITY COUNCIL ON AGING, INC. (NPI# 1174670947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174670947 |
Entity Type | Organization |
Organization Name | ATHENS COMMUNITY COUNCIL ON AGING, INC. |
Practice Address |
1774 Old West Broad St Athens GA 30606-2865 |
Mailing Address |
135 Hoyt St Athens GA 30601-2646 |
Practice Telephone | 7065486476 |
Practice Fax Number | 7065486133 |
Mailing Telephone | 7065494850 |
Mailing Fax Number | 7065497786 |
Enumeration Date | 2007-01-04 |
Last Update Date | 2014-04-14 |
Authorized Official Name | MRS. JENNIE DEESE (CEO/PRESIDENT) |
Authorized Official Telephone | 7065494850 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 385H00000X | Respite Care | Respite Care Facility |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 000120128A | 05 |
Street Address |
1774 OLD WEST BROAD ST |
City | ATHENS |
State | GA |
Zip Code | 30606-2865 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457872830 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 1774 Old West Broad St, Athens, GA 30606-2865 | 2017-07-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
Find all providers in zip 30606 |
Taxonomy Code | 385H00000X |
Grouping | Respite Care Facility |
Classification | Respite Care |
Definition to come. |
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1114063070 | Hope Haven of Northeast Georgia, Inc. | Respite Care | 795 Newton Bridge Rd, Athens, GA 30607-1303 | 2007-01-29 |
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1861959793 | A Partner In Care Home Care | Respite Care | 2330 Scenic Hwy S Ste 317, Snellville, GA 30078-3115 | 2019-02-27 |
1285162529 | Jwh Service Partners, Inc | Respite Care | 4480 Valnorth Dr Ste D, Valdosta, GA 31602-6818 | 2017-05-31 |
1083159156 | Unique Individual Inc. | Respite Care | 4100 Cascade Rd Sw, Atlanta, GA 30331-7244 | 2016-12-28 |
1326599887 | Corey Young | Respite Care | 1270 Caroline St Ne Ste D120, 225, Atlanta, GA 30307-2758 | 2016-10-20 |
1548717408 | Sask Home Care | Respite Care | 6728 Highway 85, Suite C3, Riverdale, GA 30274-2317 | 2016-09-07 |
1821455759 | Home Away From Home | Respite Care | 5031 Glore Rd Sw, Mableton, GA 30126-5509 | 2016-01-22 |
1831575349 | In My Childrens Name Inc | Respite Care | 318 South Ave Se, Marietta, GA 30060-2384 | 2015-08-06 |
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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.