ANDREA STREETER


Address: 439 Watson Bay, Stone Mountain, GA 30087-6195
Phone: 7704656858

ANDREA STREETER (NPI# 1205205473) 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) 1205205473
Entity Type Individual
Full Name ANDREA STREETER
Practice Address 439 Watson Bay
Stone Mountain
GA 30087-6195
Practice Telephone 7704656858
Mailing Telephone 7704656858
Enumeration Date 2015-09-17
Last Update Date 2015-09-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 315P00000X Intermediate Care Facility, Mentally Retarded 044016471 GA Nursing & Custodial Care Facilities

Office Location

Street Address 439 WATSON BAY
City STONE MOUNTAIN
State GA
Zip Code 30087-6195

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225358856 'a' Helping Hand, Inc. Intermediate Care Facility, Mentally Retarded 439 Watson Bay, Stone Mountain, GA 30087-6195 2010-06-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477176394 Optimal Choice Telehealth General Practice 1227 Rockbidge Rd Sw, Ste 208-354, Stone Mountain, GA 30087 2020-05-27
1245882943 Lynell Williams Counselor 505 Lilburn-stone Mountain Road, Suite 235, Stone Mountain, GA 30087 2019-07-12
1003302688 Mark Andrew Stevens Physical Therapist 1227 Rockbridge Rd Ste 402, Stone Mountain, GA 30087 2018-07-06
1154816825 Tuan Minh Khong Physician Assistant 6301 Southland Rdg, Stone Mountain, GA 30087 2018-06-26
1215429881 Stephanie Martin Nurse Practitioner 2720 S Rockbridge Rd, Stone Mountain, GA 30087 2018-05-30
1578979381 Edmund Thomas Jr. Dentist 2536 Rockbridge Rd Ste 103, Stone Mountain, GA 30087 2014-07-02
1790027688 Robert Fanning Eaves Jr. General Practice 5394 Leatherstocking Lane, Stone Mountain, GA 30087 2013-03-19
1609128917 Mary Marlene Muse Lactation Consultant, Non-RN 510 Navarre Drive, Stone Mountain, GA 30087 2012-10-10
1457680704 Cleo Evans Counselor 5638 Manassas Run, Stone Mountain, GA 30087 2009-12-16
1932348521 Lawrence Randy Sheber Dentist 5500-a Lilburn Stone Mountain Road, Stone Mountain, GA 30087 2009-02-05
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Taxonomy Information

Taxonomy Code 315P00000X
Grouping Nursing & Custodial Care Facilities
Classification Intermediate Care Facility, Mentally Retarded

Taxonomy Definition

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225358856 'a' Helping Hand, Inc. Intermediate Care Facility, Mentally Retarded 439 Watson Bay, Stone Mountain, GA 30087-6195 2010-06-05
1427378058 Precious Living Incorporated Intermediate Care Facility, Mentally Retarded 448 Registry Blf, Stone Mountain, GA 30087-6602 2010-06-05
1275863383 Bryana Personal Care Home Intermediate Care Facility, Mentally Retarded 6276 Field Glen Rd, Stone Mountain, GA 30087-4911 2010-01-12
1740404037 Butler-bowden Personal Care Home, Inc Intermediate Care Facility, Mentally Retarded 694 Leighton Way, Stone Mountain, GA 30088-1829 2007-04-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326586744 Hand-n-hand PCh Inc. Intermediate Care Facility, Mentally Retarded 125 Janette Ln, Moultrie, GA 31788-7837 2017-02-06
1902232598 Enable of Georgia, Inc. Intermediate Care Facility, Mentally Retarded 1200 Old Ellis Rd, Roswell, GA 30076-3850 2013-09-16
1326392432 Extending Community Services Foundation Intermediate Care Facility, Mentally Retarded 3630 Emerald Pt, Decatur, GA 30034-5739 2012-10-29
1639441421 Smith Personal Care Home 1and 2 Inc Intermediate Care Facility, Mentally Retarded 309 Advance St, Swainsboro, GA 30401-3675 2012-02-08
1609146109 Rainbow Ridge#2,inc. Intermediate Care Facility, Mentally Retarded 181 Rainbow Rdg, Swainsboro, GA 30401-4413 2011-12-31
1427336346 Tranquility PCh, LLC Intermediate Care Facility, Mentally Retarded 3440 Rainbow Dr, Decatur, GA 30034-1807 2011-07-26
1720318843 Allgood Manor Assistant Home Inc. Intermediate Care Facility, Mentally Retarded 6358 Deshong Dr, Lithonia, GA 30058-6123 2010-01-12
1053540260 Nue Beginnings Residence Home Inc Intermediate Care Facility, Mentally Retarded 5183 Suggs St, Powder Springs, GA 30127-3029 2009-07-09
1033236088 Nicekare Inc Intermediate Care Facility, Mentally Retarded 1210b E De Renne Ave, Savannah, GA 31406-2016 2007-03-23
1215072038 Open Arms Care Corporation Intermediate Care Facility, Mentally Retarded 6715 Highway 41, Ringgold, GA 30736-2643 2007-02-20
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Competitor

Search similar providers

City STONE MOUNTAIN
Zip Code 30087

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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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