GRACE SUPPORTIVE LIVING SERVICES LLC (NPI# 1215395900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215395900 |
| Entity Type | Organization |
| Organization Name | GRACE SUPPORTIVE LIVING SERVICES LLC |
| Practice Address |
3350 Riverwood Pkwy Se 1900 Atlanta GA 30339-6401 |
| Practice Telephone | 7709845388 |
| Mailing Telephone | 7709845388 |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-18 |
| Authorized Official Name | MS. SAMARA L ROBERTSON (OWNER/LICENSE NURSE) |
| Authorized Official Telephone | 7709845388 |
| Authorized Official Credential | LPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | LPN0089404 | GA | Agencies |
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE MEDICAID | 1154604015 | 01 |
| Street Address |
3350 RIVERWOOD PKWY SE 1900 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30339-6401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689692527 | Frans Erik Schonberg | Dentist | 3350 Riverwood Pkwy Se, Suite 2130, Atlanta, GA 30339-6401 | 2006-07-18 |
| 1265972129 | Andrea Burden | Counselor | 3350 Riverwood Pkwy Se, Atlanta, GA 30339-6401 | 2017-02-27 |
| 1588108955 | Empathy | Counselor | 3350 Riverwood Pkwy Se, Atlanta, GA 30339-6401 | 2016-12-05 |
| 1285086181 | Psycologist Technology Inc | Clinic/Center | 3350 Riverwood Pkwy Se, Suite 1900, Atlanta, GA 30339-6401 | 2016-07-05 |
| 1154788313 | Touchstone Orthodontics LLC | Dentist | 3350 Riverwood Pkwy Se, Suite 2130, Atlanta, GA 30339-6401 | 2016-01-19 |
| 1568852937 | Watson Behavioral Health Inc. | Counselor | 3350 Riverwood Pkwy Se, Suite 1900, Atlanta, GA 30339-6401 | 2015-01-23 |
| 1770973141 | Nanette Shealy | Registered Nurse | 3350 Riverwood Pkwy Se, Suite 1900, Atlanta, GA 30339-6401 | 2015-01-23 |
| 1073944997 | Cosmetic Family & Implant Dentistry of Atlanta | Point of Service | 3350 Riverwood Pkwy Se, Suite 2120, Atlanta, GA 30339-6401 | 2013-12-03 |
| 1588092407 | Meridith Long Dautovic | Dentist | 3350 Riverwood Pkwy Se, Suite 2130, Atlanta, GA 30339-6401 | 2013-10-31 |
| 1902249972 | Care Purpose Inc. | Home Health | 3350 Riverwood Pkwy Se, Atlanta, GA 30339-6401 | 2013-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303426 | Cheryl E Williams | Counselor | 1870 The Exchange, Suite 200 - 361, Atlanta, GA 30339 | 2020-07-20 |
| 1245854371 | Synergia Integrated Telebehavioral Health | Clinic/Center | 3941 Old Atlanta Station Drive, Southeast, Atlanta, GA 30339 | 2020-06-04 |
| 1972123883 | Elizabeth Newton, Psyd and Assoc Inc | Psychologist | 1827 Powers Ferry Rd, Bldg 21, Atlanta, GA 30339 | 2020-04-21 |
| 1881165207 | Le Reve Medical Clinic PC | Family Medicine | 1827 Powers Ferryy Rd Se Bldg 7, Suite 150, Atlanta, GA 30339 | 2018-12-11 |
| 1013499821 | Deonna Pennamon | Specialist/Technologist | 5625 Suffex Green Lane, Atlanta, GA 30339 | 2018-08-29 |
| 1205326915 | Matthew Buyert | Counselor | 1827 Powers Ferry Rd Se Ste 22, Atlanta, GA 30339 | 2018-05-17 |
| 1760991632 | Horizons Unlimited Professional Services Inc. | Community/Behavioral Health | 1755 The Exchange Se Ste 190, Atlanta, GA 30339 | 2017-09-23 |
| 1932624418 | Kheder Basheer | Student in an Organized Health Care Education/Training Program | 3224 Post Woods Dr., Apt E, Atlanta, GA 30339 | 2017-08-07 |
| 1417486820 | Ashley Drake | Counselor | 4695 N Church Ln Se Apt 10306, Atlanta, GA 30339 | 2017-06-08 |
| 1992248298 | New Legacy Counseling and Training Center | Point of Service | 3350 Riverwood Parkway, Suite 1925, Atlanta, GA 30339 | 2016-11-18 |
| Find all providers in zip 30339 | ||||
| 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 |
|---|---|---|---|---|
| 1073114286 | Sadiecare Health Services Incorporated | Home Health | 483 Holderness St Sw Unit B, Atlanta, GA 30310-1748 | 2020-11-04 |
| 1356941082 | Just Peachy Home Care LLC | Home Health | 550 Fairburn Rd Sw Ste B1, Atlanta, GA 30331-2016 | 2020-10-30 |
| 1174138564 | Divine Angels Home Care | Home Health | 1201 Peachtree St Ne Bldg 400, Atlanta, GA 30361-3507 | 2020-09-11 |
| 1588272041 | Baron Home Group LLC | Home Health | 1700 Withmere Way, Atlanta, GA 30338-2839 | 2020-07-21 |
| 1699383729 | Benevolent Home and Health LLC | Home Health | 290 Mlk Jr Dr Se Unit 4409, Atlanta, GA 30312-2540 | 2020-07-15 |
| 1487272324 | Providence Healthcare Services, Inc | Home Health | 1230 Peachtree St Ne Fl 19, Atlanta, GA 30309-3574 | 2020-07-07 |
| 1558985754 | Peoples House Atl 1 LLC | Home Health | 707 Park Ave Ne Apt 1380, Atlanta, GA 30326-3410 | 2020-06-03 |
| 1669092391 | Abide Infusions and Home Care | Home Health | 741 Piedmont Ave Ne Ste 130, Atlanta, GA 30308-1420 | 2020-04-22 |
| 1326677790 | Art of Care Home Health Care LLC | Home Health | 1155 Lavista Rd Ne Apt 1225, Atlanta, GA 30324-3748 | 2020-04-07 |
| 1396372363 | Lamar Agency | Home Health | 3040 Peachtree Rd Nw Unit 1010, Atlanta, GA 30305-2290 | 2020-03-26 |
| Find all providers in ATLANTA | ||||
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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.