GEORGIA HEALTH SERVICES NETWORK, LLC (NPI# 1265785273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265785273 |
| Entity Type | Organization |
| Organization Name | GEORGIA HEALTH SERVICES NETWORK, LLC |
| Practice Address |
155 Bankers Blvd Bldg A, Suite 100 Monroe GA 30655-7722 |
| Mailing Address |
Po Box 2966 Loganville GA 30052-1967 |
| Practice Telephone | 7704667771 |
| Mailing Telephone | 7704667771 |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2012-10-16 |
| Authorized Official Name | MRS. CAROLYN FAGAN (CEO) |
| Authorized Official Telephone | 7704667771 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | GA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 124697600A | 05 |
| Street Address |
155 BANKERS BLVD BLDG A, SUITE 100 |
| City | MONROE |
| State | GA |
| Zip Code | 30655-7722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968149 | Coresa Hawanis Thomas | Counselor | Advantage Behavioral Health, 384 State Hwy 11 Sw, Walton, GA 30655 | 2020-10-06 |
| 1821629049 | Daniel A Hodges | Dentist | 1190 West Spring St, Suite A, Monroe, GA 30655 | 2020-01-27 |
| 1669019071 | Daniel Bradley Hodges | Dentist | 1190 W. Spring St, Monroe, GA 30655 | 2019-12-04 |
| 1861962730 | Danny Shoemake | Counselor | 2080 Highway 78 Nw, Monroe, GA 30655 | 2018-12-04 |
| 1205329687 | Advantage Behavioral Health Systems | Clinic/Center | 638 Michael Cir., Monroe, GA 30655 | 2018-06-11 |
| 1144722455 | Catherine Williams | Behavioral Analyst | 109 Blaine Street, Monroe, GA 30655 | 2018-03-02 |
| 1588186811 | Francette Dubuche Bernard | Nurse Practitioner | 398 Highway 11, Sw, Monroe, GA 30655 | 2017-07-07 |
| 1437699006 | Amanda Kaye Green | Nurse Practitioner | 517 Great Oaks Drive Suite 103, Monroe, GA 30655 | 2017-03-02 |
| 1639528524 | Matthew Bradford Allgood | Physical Therapist | 2120 W Spring St Ste 1500, Monroe, GA 30655 | 2016-06-10 |
| 1477939221 | Healthy Home Transitions | Social Worker | 506 S Broad Street, Monroe, GA 30655 | 2015-08-04 |
| Find all providers in zip 30655 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174138721 | Monroe Assisted Care Center Lc | Assisted Living Facility | 2299 Sterlington Rd, Monroe, LA 71203-3032 | 2020-09-10 |
| 1063026102 | Kesjan Assisted Living Care | Assisted Living Facility | 350 Desiard Plaza Dr Ste 117, Monroe, LA 71203-4959 | 2020-09-05 |
| 1922572783 | Laurie L Werrline | Assisted Living Facility | W5759 Mings Rd, Monroe, WI 53566-9795 | 2019-01-15 |
| 1063789501 | Monroe Manor Assisted Living Inc | Assisted Living Facility | 1101 Baucom Rd, Monroe, NC 28110-7584 | 2011-11-29 |
| 1881825529 | Carillon Assisted Living of Monroe, LLC | Assisted Living Facility | 5306 Secrest Short Cut Rd, Monroe, NC 28110 | 2009-07-29 |
| 1841330776 | Agape II | Assisted Living Facility | 1008 Griffith Rd, Monroe, NC 28112-6241 | 2007-02-08 |
| 1699815035 | Hillcrest Church Rest Home, Inc. | Assisted Living Facility | 4123 Hillcrest Church Rd, Monroe, NC 28110-8292 | 2007-02-07 |
| 1669518981 | Agape I | Assisted Living Facility | 504 Colony Rd, Monroe, NC 28112-4511 | 2007-01-30 |
| 1558408898 | Jeff's Place | Assisted Living Facility | 1109 Griffith Rd, Monroe, NC 28112-6244 | 2007-01-30 |
| 1083751317 | Agape Windsor | Assisted Living Facility | 907 W Windsor St, Monroe, NC 28112-5469 | 2007-01-30 |
| Find all providers in MONROE | ||||
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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.