PRN NURSING AND ALTERNATIVE LIVING FAMILY CARE SOLUTIONS (NPI# 1174819619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174819619 |
| Entity Type | Organization |
| Organization Name | PRN NURSING AND ALTERNATIVE LIVING FAMILY CARE SOLUTIONS |
| Practice Address |
115 Lakeshore Dr S Ivey GA 31031-3537 |
| Mailing Address |
115 Lakeshore Drive South Ivey GA 31031 |
| Practice Telephone | 4784569296 |
| Mailing Telephone | 4784569296 |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2011-06-23 |
| Authorized Official Name | MRS. JANICE S HILL (DIRECTOR) |
| Authorized Official Telephone | 4784569296 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
158010091 | GA | Nursing & Custodial Care Facilities |
| Street Address |
115 LAKESHORE DR S |
| City | IVEY |
| State | GA |
| Zip Code | 31031-3537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184718942 | Gordon Drugs, Inc. | Durable Medical Equipment & Medical Supplies | 240 Milledgeville Road, Gordon, GA 31031 | 2006-10-03 |
| 1568529139 | Wilkinson Service Center | Day Training, Developmentally Disabled Services | 113 Solomon St, Gordon, GA 31031-0069 | 2007-01-03 |
| 1720133960 | Dennis R. Smith Dds, Inc. | Dentist | 106 College Street, 106 College Street, Gordon, GA 31031-0326 | 2007-01-25 |
| 1124173356 | Dennis Rayvon Smith | Dentist | 106 College Street, Gordon, GA 31031-0326 | 2007-01-25 |
| 1699872911 | Cyler Duggan Garner | Legal Medicine | 200 Pine St, Gordon, GA 31031-0357 | 2006-09-20 |
| 1750644902 | Lisa Marie Mcintyre | Counselor | 198 Union Hill Church Rd, Gordon, GA 31031-2134 | 2012-06-22 |
| 1487281572 | Jamia A Reese | Speech-Language Pathologist | 136 Burney Rd, Gordon, GA 31031-2501 | 2020-03-26 |
| 1043842073 | Jerry Reese Jr. | Specialist/Technologist | 218 Elam St, Gordon, GA 31031-2502 | 2020-02-07 |
| 1861763195 | Falcon Crest Manor, LLC | Assisted Living Facility | 111 Epps St, Gordon, GA 31031-3805 | 2012-01-18 |
| 1912340829 | Angus Lake Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 242 Milledgeville Hwy, Gordon, GA 31031-3827 | 2013-04-10 |
| Find all providers in zip 31031 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215842 | Stewart Community Home, Inc. | Assisted Living Facility | 1125 15th St, Columbus, GA 31901-2219 | 2020-11-06 |
| 1952851602 | Gates Health Care Services, LLC | Assisted Living Facility | 400 Wallace Cir, Bloomingdale, GA 31302-8050 | 2016-10-06 |
| 1801251202 | Prime Veritas | Assisted Living Facility | 1889 Trinity Mill Dr, Dacula, GA 30019-1015 | 2015-12-30 |
| 1053730267 | Hooks Home of Care | Assisted Living Facility | 4466 Pinedale Dr, Macon, GA 31206-4530 | 2014-04-15 |
| 1699024141 | Transitional Hope Unlimited | Assisted Living Facility | 4 Harvey St Ne, Rome, GA 30161-5122 | 2012-08-30 |
| 1164782223 | Sweet Pea Personal Care Home | Assisted Living Facility | 9387 Burkhalter Rd, Statesboro, GA 30461-6765 | 2012-05-23 |
| 1447532007 | Pendley Personal Care Home Inc. | Assisted Living Facility | 2548 Central Ave, Augusta, GA 30904-6240 | 2011-09-09 |
| 1215216445 | Paula's Safe House | Assisted Living Facility | 3900 Rockey Valley Dr, Conley, GA 30288-1410 | 2011-08-04 |
| 1477859841 | Fairview Community Personal Care Home, Inc. | Assisted Living Facility | 2470 Fairview Rd Se, Conyers, GA 30013-4919 | 2011-02-02 |
| 1750682571 | Intimate Estates, Inc | Assisted Living Facility | 449 Womack Rd, Covington, GA 30016-1882 | 2010-11-10 |
| 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.