PAULA'S SAFE HOUSE (NPI# 1215216445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215216445 |
| Entity Type | Organization |
| Organization Name | PAULA'S SAFE HOUSE |
| Practice Address |
3900 Rockey Valley Dr Conley GA 30288-1410 |
| Mailing Address |
625 Lakewater View Ln Stone Mountain GA 30087-6508 |
| Practice Telephone | 4044334217 |
| Mailing Telephone | 4044334217 |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2011-08-04 |
| Authorized Official Name | MR. SHAWN A WARD (MANAGER) |
| Authorized Official Telephone | 7708377251 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities |
| Street Address |
3900 ROCKEY VALLEY DR |
| City | CONLEY |
| State | GA |
| Zip Code | 30288-1410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720333198 | Lonuis Lucky | Adult Companion | 1625 Conley Rd. 222, Conley, GA 30288 | 2012-07-20 |
| 1356534242 | American Current Care Pa | Clinic/Center | 4223 Moreland Avenue Hwy 42, Conley, GA 30288 | 2007-08-23 |
| 1114044245 | Harriette L Badger | Physician Assistant | 4223 Highway 42, Conley, GA 30288 | 2007-03-23 |
| 1871502807 | Occupational Health Centers of Georgia PC | Clinic/Center | 4223 Morland Ave., Highway 42, Conley, GA 30288 | 2006-08-07 |
| 1306963442 | Harlan G Lebow | Preventive Medicine | 4223 Highway 42, Conley, GA 30288 | 2007-03-23 |
| 1205199163 | 24/7 Drug & Alcohol Testing Center | Clinical Medical Laboratory | 1397 Cedar Grove Rd, Conley, GA 30288-1107 | 2012-06-15 |
| 1437795788 | Melanie Stone | Technician | 1789 Claron Ave, Conley, GA 30288-1308 | 2019-11-21 |
| 1720590607 | Fremetia Kaye Anderson | Counselor | 4205 Janjolin Dr, Conley, GA 30288-1309 | 2017-10-31 |
| 1881063576 | Entelechy Rehab, LLC | Clinic/Center | 4015 Moore Creek Dr, Conley, GA 30288-1359 | 2015-09-23 |
| 1407144009 | Catherine Roberts | Counselor | 4040 Moore Creek Dr, Conley, GA 30288-1360 | 2011-07-16 |
| Find all providers in zip 30288 | ||||
| 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] |
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|---|---|---|---|---|
| 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 |
| 1174819619 | Prn Nursing and Alternative Living Family Care Solutions | Assisted Living Facility | 115 Lakeshore Dr S, Ivey, GA 31031-3537 | 2011-06-23 |
| 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.