DELMAR GARDENS OF SMYRNA, LLC (NPI# 1194711606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194711606 |
| Entity Type | Organization |
| Organization Name | DELMAR GARDENS OF SMYRNA, LLC |
| Other Organization Name | DELMAR GARDENS OF SMYRNA |
| Practice Address |
404 King Springs Village Pkwy Se Smyrna GA 30082-4240 |
| Mailing Address |
14805 N Outer 40 Rd Suite 300 Chesterfield MO 63017-6060 |
| Practice Telephone | 7704324444 |
| Practice Fax Number | 7703199129 |
| Mailing Telephone | 6367337000 |
| Mailing Fax Number | 6367337010 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2015-03-03 |
| Authorized Official Name | MR. GAIL LEE HARTMANN (TREASURER) |
| Authorized Official Telephone | 6367337000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1-033-1830 | GA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 929941669A | 05 |
| Other Name | Type Code |
|---|---|
| Delmar Gardens of Smyrna | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194124149 | Delmar Gardens of Smyrna, LLC | Assisted Living Facility | 404 King Springs Village Pkwy Se, Smyrna, GA 30082-4240 | 2014-08-15 |
| Street Address |
404 KING SPRINGS VILLAGE PKWY SE |
| City | SMYRNA |
| State | GA |
| Zip Code | 30082-4240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285120931 | Brandi Alishia Moore | Speech-Language Pathologist | 404 King Springs Village Pkwy Se, Smyrna, GA 30082-4203 | 2018-07-05 |
| 1518461763 | Sharon Ava Johnson | Physical Therapy Assistant | 404 King Springs Village Pkwy Se, Smyrna, GA 30082-4240 | 2018-03-22 |
| 1972976140 | Brenda Williams | Speech-Language Pathologist | 404 King Springs Village Pkwy Se, Smyrna, GA 30082-4240 | 2015-11-10 |
| 1326410150 | Leigh Burger | Physical Therapy Assistant | 404 King Springs Village Pkwy Se, Smyrna, GA 30082-4240 | 2015-10-20 |
| 1255708699 | Sara Guevara | Physical Therapy Assistant | 404 King Springs Village Pkwy Se, Smyrna, GA 30082-4240 | 2015-09-01 |
| 1508246174 | Edward Brooks Coffie II | Occupational Therapist | 404 King Springs Village Pkwy Se, Smyrna, GA 30082-4240 | 2015-06-08 |
| 1124416755 | Kimberly Danielle Gatling | Occupational Therapy Assistant | 404 King Springs Village Pkwy Se, Smyrna, GA 30082-4240 | 2015-01-06 |
| 1194124149 | Delmar Gardens of Smyrna, LLC | Assisted Living Facility | 404 King Springs Village Pkwy Se, Smyrna, GA 30082-4240 | 2014-08-15 |
| 1942619010 | Speech Language Pathologist | Skilled Nursing Facility | 404 King Springs Village Pkwy Se, Smyrna, GA 30082-4240 | 2014-08-04 |
| 1598193591 | Frances Gilliam | Occupational Therapist | 404 King Springs Village Pkwy Se, Smyrna, GA 30082-4240 | 2013-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528600335 | Arden Constance Mobley | Occupational Therapist | 3200 Highlands Parkway Suite 150, Smyrna, GA 30082 | 2019-10-14 |
| 1386185916 | Nicholas Andrews | Behavior Technician | 5034 Laurel Bridge, Smyrna, GA 30082 | 2017-03-15 |
| 1518331362 | Shannon Wilkerson | Counselor | 3040 Highlands Pkwy, Ste G, Smyrna, GA 30082 | 2015-11-17 |
| 1235529611 | Frances Offiah Idowu | Nurse Practitioner | 3240 South Cobb Drive, Smyrna, GA 30082 | 2015-01-23 |
| 1053717850 | Deena Altman Spital | Physician Assistant | 400 Technology Ct, Suite J, Smyrna, GA 30082 | 2014-11-06 |
| 1487964193 | Revive Athletics, Inc | Counselor | 460 Bourne Drive, Smyrna, GA 30082 | 2010-10-15 |
| 1386956746 | Kalpit C Patel | Family Medicine | 4480 N Cooper Lake Rd Se Ste 100, Smyrna, GA 30082 | 2010-07-13 |
| 1285826800 | David Goziem Nwabunor | Emergency Medicine | 415 Oak Brook Ct Se, Smyrna, GA 30082 | 2007-08-16 |
| 1437357373 | Amit M Patel | Plastic Surgery | 3968 Felton Hill Rd Sw, Ste 100, Smyrna, GA 30082 | 2007-07-03 |
| 1225103849 | Daniel C Norris Dds PC | Dentist | 620 Concord Rd, Smyrna, GA 30082 | 2006-11-21 |
| Find all providers in zip 30082 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093343535 | Marie Carmelle Noel | Skilled Nursing Facility | 800 Sadie Ann Ct, Smyrna, TN 37167-3445 | 2020-03-30 |
| 1619320819 | Moving Forward Consultant Company | Skilled Nursing Facility | 3315 S Cobb Dr Se Unit 813642, Smyrna, GA 30081-3099 | 2016-07-22 |
| 1124081278 | Green Valley Snf LLC | Skilled Nursing Facility | 3034 S Dupont Blvd, Smyrna, DE 19977-1898 | 2006-04-10 |
| 1538157649 | Diversicare Leasing Corp. | Skilled Nursing Facility | 200 Mayfield Dr, Smyrna, TN 37167-3019 | 2005-10-12 |
| 1982157434 | The Waters of Smyrna LLC | Skilled Nursing Facility | 202 Enon Springs Rd E, Smyrna, TN 37167-3011 | 2016-08-02 |
| 1801249941 | Diversicare of Smyrna | Skilled Nursing Facility | 200 Mayfield Dr, Smyrna, TN 37167-3019 | 2016-07-13 |
| 1942619010 | Speech Language Pathologist | Skilled Nursing Facility | 404 King Springs Village Pkwy Se, Smyrna, GA 30082-4240 | 2014-08-04 |
| 1235309568 | Miguel E. Stubbs, M.d.p.c. | Skilled Nursing Facility | 3001 S Cobb Dr Se, Suite 103, Smyrna, GA 30080-7809 | 2008-03-03 |
| 1063697092 | Green Valley Snf LLC | Skilled Nursing Facility | 3034 S Dupont Blvd, Smyrna, DE 19977-1898 | 2008-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689281982 | Georgia Regional Health Services LLC | Skilled Nursing Facility | 3731 Lake Pass Ln, Suwanee, GA 30024-8422 | 2020-09-30 |
| 1124633268 | Lavender Mountain Senior Living Inc | Skilled Nursing Facility | 600 Eagle Lake Trl, Rome, GA 30165-2207 | 2020-09-15 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1205486859 | Magnolia Manor of Liberty County, Inc. | Skilled Nursing Facility | 625 N Coastal Hwy # 17, Midway, GA 31320-3433 | 2019-09-16 |
| 1497301170 | Prestige Health Services LLC | Skilled Nursing Facility | 1770 Indian Trail Lilburn Rd Ste 420, Norcross, GA 30093-2644 | 2019-08-17 |
| 1043878721 | Keysville Ltc Management LLC | Skilled Nursing Facility | 1005 Ga Highway 88, Blythe, GA 30805-3911 | 2019-05-29 |
| 1689131724 | Favor Home Health Care Services, LLC | Skilled Nursing Facility | 51 Gallery Ct, Acworth, GA 30101-2709 | 2019-02-25 |
| 1104398866 | University Extended Care, Inc | Skilled Nursing Facility | 1005 Highway 88 N, Keysville, GA 30816 | 2018-12-19 |
| 1548745342 | Gacalhoun Snf LLC | Skilled Nursing Facility | 1387 Highway 41 N., Calhoun, GA 30701 | 2018-09-27 |
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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.