GENCARE HEALTH AND CAREGIVER SERVICES LLC (NPI# 1265069405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265069405 |
Entity Type | Organization |
Organization Name | GENCARE HEALTH AND CAREGIVER SERVICES LLC |
Practice Address |
7336 Westwood Ln Douglasville GA 30134-1092 |
Mailing Address |
7421 Douglas Blvd Ste N443 Douglasville GA 30135-1564 |
Practice Telephone | 8503453311 |
Mailing Telephone | 6785239046 |
Enumeration Date | 2020-03-26 |
Last Update Date | 2020-09-03 |
Authorized Official Name | DEAUDREY STOKES BYRD (ADMINISTRATOR) |
Authorized Official Telephone | 6785239046 |
Authorized Official Credential | NP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251E00000X | Home Health | Agencies | ||
N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
7336 WESTWOOD LN |
City | DOUGLASVILLE |
State | GA |
Zip Code | 30134-1092 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851915631 | Lilian Pereira | Nurse Practitioner | Bethesda Medical Group, LLC, 9280 Hwy 5 - Suite D, Douglasville, GA 30134 | 2020-06-08 |
1548822901 | Sweet Resolve LLC | Nurse Practitioner | 4318 Ridge Rd, Ste 111 Pmb 1017, Douglasville, GA 30134 | 2019-07-05 |
1598328791 | Straight Street Life Center Inc | Case Manager/Care Coordinator | 12461 Veterans Memorial, Douglasville, GA 30134 | 2019-04-15 |
1174014930 | Caitlin Waldrip | Chiropractor | 8326a Office Park Dr., Douglasville, GA 30134 | 2018-05-28 |
1861901050 | Michelle Denise Winston | Licensed Practical Nurse | 6497 E Strickland, Douglasville, GA 30134 | 2017-09-20 |
1518335843 | Willis Anthony Rogers | Durable Medical Equipment & Medical Supplies | 7094 Rose Lake Circle, Douglasville, GA 30134 | 2015-09-03 |
1497135131 | Patricia Warren | Social Worker | 8317 Office Park Drive Ste.#e, Douglasville, GA 30134 | 2015-06-08 |
1457747321 | Kidz Rock Therapy Services, LLC | Occupational Therapist | 6732 West Spring Street, Douglasville, GA 30134 | 2015-04-08 |
1386068476 | Naa Y Oden | Psychologist | 4813 Ridge Rd Ste 111-639, Douglasville, GA 30134 | 2014-02-10 |
1467893271 | American Ems | Ambulance | 7240 Bankhead Hwy, Douglasville, GA 30134 | 2013-07-09 |
Find all providers in zip 30134 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033710298 | Karen F Frazier | Nurse Practitioner | 6610 Crest Wood Ln, Douglasville, GA 30135-9046 | 2020-11-04 |
1851915631 | Lilian Pereira | Nurse Practitioner | Bethesda Medical Group, LLC, 9280 Hwy 5 - Suite D, Douglasville, GA 30134 | 2020-06-08 |
1184268682 | Rasheedat Adunni Ibrahim | Nurse Practitioner | 6712 Brookfield Way, Douglasville, GA 30134-1461 | 2019-10-29 |
1538717475 | Shantel Brown | Nurse Practitioner | 3347 Surveyor Ct, Douglasville, GA 30135-8102 | 2019-09-03 |
1457825358 | Marcia Ann-marie Wilson | Nurse Practitioner | 4279 Caroline Court, Douglasville, GA 30135 | 2019-01-14 |
1962986224 | Sherry-ann Francis-grant | Nurse Practitioner | 6510 Manor Creek Dr, Douglasville, GA 30135-3681 | 2018-09-21 |
1891278602 | Monique Danielle Jasper | Nurse Practitioner | 3090 Stone Oak Dr, Douglasville, GA 30135-1903 | 2018-09-09 |
1720560006 | Chinelo Emekwue | Nurse Practitioner | 2361 Salah Cir, Douglasville, GA 30135-8159 | 2018-09-03 |
1598269250 | Medicas Medical Clinic, LLC | Nurse Practitioner | 5846 Stewart Pkwy, Douglasville, GA 30135-2374 | 2018-03-19 |
1477083913 | Angela Long | Nurse Practitioner | 6126 Prestley Mill Rd Ste H, Douglasville, GA 30134-5624 | 2017-06-18 |
Find all providers in DOUGLASVILLE |
City | DOUGLASVILLE |
Zip Code | 30134 |
Please comment or provide details below to improve the information on GENCARE HEALTH AND CAREGIVER SERVICES LLC.
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.