AMICASA HOME CARE CORPORATION (NPI# 1174921639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174921639 |
| Entity Type | Organization |
| Organization Name | AMICASA HOME CARE CORPORATION |
| Other Organization Name | AMICASA HOME CARE AND HOSPICE |
| Practice Address |
157 Burke St Suite 119 Stockbridge GA 30281-3433 |
| Practice Telephone | 4045371960 |
| Mailing Telephone | 4045371960 |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2016-01-05 |
| Authorized Official Name | EVELYN AFULUENU AZIKE (CEO-ADMINISTRATOR) |
| Authorized Official Telephone | 4045371960 |
| Is Organization Subpart | Y |
| Parent Organization Name | AMICASA HOME CARE CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 075-R-0801 | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | THE JOINT COMMISSION | 565352 | 01 |
| GA | MEDICAID CCSP | 003110469B | 01 |
| GA | MEDICAID SOURCE | 003110469C | 01 |
| GA | 003110469A | 05 |
| Other Name | Type Code |
|---|---|
| Amicasa Home Care and Hospice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396065777 | Amicasa Home Care Corporation | Nursing Care | 157 Burke Street, Suite 119, Stockbridge, GA 30281-3439 | 2010-06-08 |
| Street Address |
157 BURKE ST SUITE 119 |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281-3433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518227834 | Wings of Hope Counseling Center | Social Worker | 157 Burke St, Ste 113, Stockbridge, GA 30281-3433 | 2012-05-21 |
| 1972096956 | Infinite Care Services LLC | In Home Supportive Care | 157 Burke St, Stockbridge, GA 30281-3433 | 2018-06-13 |
| 1730622564 | Next Level Therapy and Wellness Services, LLC | Clinic/Center | 157 Burke St, Suite 107, Stockbridge, GA 30281-3433 | 2016-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
| 1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
| 1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
| 1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
| 1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
| 1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
| 1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
| 1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
| 1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
| 1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
| Find all providers in zip 30281 | ||||
| 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 |
|---|---|---|---|---|
| 1396374823 | Dignity Senior Care Services LLC | Home Health | 145 Titan Rd, Stockbridge, GA 30281-9121 | 2020-04-06 |
| 1952943003 | Resourceful Home Care Services, LLC | Home Health | 109 Melinda Dr, Stockbridge, GA 30281-1197 | 2019-10-10 |
| 1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
| 1043870744 | Wright Care Services Inc | Home Health | 4118 Cooper Rd, Stockbridge, MI 49285-9774 | 2019-06-17 |
| 1073176491 | Glory Health Care and In Home Services | Home Health | 85 Shea Ln, Stockbridge, GA 30281-1261 | 2019-04-22 |
| 1144796806 | Epeople Healthcare Georgia, LLC | Home Health | 827 Fairways Ct Ste 303, Stockbridge, GA 30281-9068 | 2018-10-22 |
| 1952877839 | Epeople Healthcare Georgia, LLC | Home Health | 5046a N Henry Blvd, Stockbridge, GA 30281-3561 | 2018-10-18 |
| 1962911263 | Utmost Healthcare Solutions, LLC | Home Health | 308 Asgard Ct, Stockbridge, GA 30281-0902 | 2017-09-29 |
| 1457800724 | Nuvision Healthcare Services Inc | Home Health | 605 Cameron Landing Dr, Stockbridge, GA 30281-6847 | 2016-09-28 |
| 1679925838 | The Calla Lily LLC | Home Health | 670 Pathwood Ln, Stockbridge, GA 30281-7787 | 2016-07-11 |
| Find all providers in STOCKBRIDGE | ||||
| City | STOCKBRIDGE |
| Zip Code | 30281 |
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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.