ATHENS COMMUNITY COUNCIL ON AGING, INC.


Address: 1774 Old West Broad St, Athens, GA 30606-2865
Phone: 7065486476

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 385H00000X Respite Care Respite Care Facility

Other Provider Identifier

State Issuer Identifier Type Code
GA 000120128A 05

Office Location

Street Address 1774 OLD WEST BROAD ST
City ATHENS
State GA
Zip Code 30606-2865

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457872830 Athens Orthopedic Clinic, Pa Orthopaedic Surgery 1774 Old West Broad St, Athens, GA 30606-2865 2017-07-06

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 385H00000X
Grouping Respite Care Facility
Classification Respite Care

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750893871 Hopewell Health Centers Inc Respite Care 7976 Dairy Ln, Athens, OH 45701-9391 2017-10-30
1114063070 Hope Haven of Northeast Georgia, Inc. Respite Care 795 Newton Bridge Rd, Athens, GA 30607-1303 2007-01-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1124628144 Nurturing Love Inc Respite Care 704 Holly Dr, Valdosta, GA 31602-3306 2020-10-28
1548877350 Rahco Athens, LLC Respite Care 1711 Meriweather Dr Ste 100, Watkinsville, GA 30677-7789 2020-09-25
1689223588 Carebrand Health Care LLC Respite Care 106 Loblolly Ln, Albany, GA 31721-7724 2019-09-04
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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Competitor

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City ATHENS
Zip Code 30606

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Dataset Information

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.

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