PERSONALIZED HOME HEALTH CARE, LLC (NPI# 1215264551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215264551 |
| Entity Type | Organization |
| Organization Name | PERSONALIZED HOME HEALTH CARE, LLC |
| Other Organization Name | PERSONALIZED CARE, LLC |
| Practice Address |
1940 Greensbrooke Close Stone Mountain GA 30088-4434 |
| Practice Telephone | 3144434803 |
| Practice Fax Number | 7705598792 |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2009-11-06 |
| Authorized Official Name | MRS. DIANNE WEST (EXECUTIVE DIRECTOR/MANAGER) |
| Authorized Official Telephone | 3144434803 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | 044-R-0629 | GA | Agencies |
| Other Name | Type Code |
|---|---|
| Personalized Care, LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710398490 | Personalized Home Health Care, LLC | Home Health | 3238 Parker Rd, Florissant, MO 63033-3733 | 2014-05-15 |
| 1184254997 | Personalized Home Health Care, LLC | Technician | 3238 Parker Rd, Florissant, MO 63033-3733 | 2020-01-21 |
| Street Address |
1940 GREENSBROOKE CLOSE |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30088-4434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565902 | Edward Edeh | Pharmacist | 1232 South Hairstoh Road, Stone Mountain, GA 30088 | 2020-10-16 |
| 1588124879 | Birds of Paradise Physical Therapy Services,llc | Physical Therapy Assistant | 754 Post Road Ln, Address Line 2, Stone Mountain, GA 30088 | 2019-03-22 |
| 1710467923 | Stephanie Patrice Mccray | In Home Supportive Care | 1058 Millard Road, Stone Mountain, GA 30088 | 2018-08-16 |
| 1912365321 | Audrey Perry | Respiratory Therapist, Certified | 1588 Linkview Close, Stone Mountain, GA 30088 | 2016-02-01 |
| 1689041428 | Reaching Above Poverty | Counselor | 5401 Megan Rd, Stone Mountain, GA 30088 | 2015-08-27 |
| 1043692254 | Bethany Johnson | Home Health Aide | 981 Deer Chase Court, Stone Mountain, GA 30088 | 2015-06-24 |
| 1073859666 | Whitney's Place Inc. | Custodial Care Facility | 5451 Rockbeidge Road, Stone Mountain, GA 30088 | 2012-12-31 |
| 1831468818 | The Art of Living Cla LLC. | Community/Behavioral Health | 1668 South Hairston Rd, Stone Mountain, GA 30088 | 2011-12-21 |
| 1659670792 | Atarah Ranit Kimmons | Occupational Therapist | 2045 County Down Lane, Stone Moutain, GA 30088 | 2011-03-15 |
| 1104060219 | William Tyrell Reid Jr. | Dentist | 1183 South Hairstron Rd., Suite D, Stone Mountain, GA 30088 | 2009-04-21 |
| Find all providers in zip 30088 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952968521 | Willene's Home Care Services Corporation | In Home Supportive Care | 1205 Mannbrook Dr, Stone Mountain, GA 30083-5316 | 2019-05-20 |
| 1316403124 | 24 Hours Home Care | In Home Supportive Care | 5405 Memorial Dr Ste A103, Stone Mountain, GA 30083-3259 | 2019-02-17 |
| 1710467923 | Stephanie Patrice Mccray | In Home Supportive Care | 1058 Millard Road, Stone Mountain, GA 30088 | 2018-08-16 |
| 1861906034 | Oasis Private Home Care Services Inc | In Home Supportive Care | 6340 Robins Nest, Stone Mountain, GA 30087-4976 | 2017-11-27 |
| 1447770482 | Dispatched Angels Home Care | In Home Supportive Care | 619 El Prado Court, Stone Mountain, GA 30083 | 2017-06-21 |
| 1669927380 | Namsara Homecare Services LLC | In Home Supportive Care | 5151 Vivid Dr, Stone Mountain, GA 30087-3427 | 2016-08-23 |
| 1447662432 | Concoh Health Care | In Home Supportive Care | 5883 Heritage Ln, Stone Mountain, GA 30087-1848 | 2014-05-23 |
| 1902229453 | Heavenly Homecare Services | In Home Supportive Care | 4980 Villager Ln, Stone Mountain, GA 30083-3698 | 2014-02-03 |
| 1649615402 | Jabezz LLC | In Home Supportive Care | 5667 Stonington Trace Pkwy, Stone Mountain, GA 30087-5218 | 2013-05-07 |
| 1053668392 | Smartway, LLC | In Home Supportive Care | 6927 Harbor Town Way, Stone Mountain, GA 30087-5468 | 2012-08-06 |
| Find all providers in STONE MOUNTAIN | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30088 |
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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.