MY BROTHAZ H.O.M.E., INC. (NPI# 1275663551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275663551 |
| Entity Type | Organization |
| Organization Name | MY BROTHAZ H.O.M.E., INC. |
| Practice Address |
2111 Price St Savannah GA 31401-9049 |
| Practice Telephone | 9122318727 |
| Practice Fax Number | 9122318730 |
| Mailing Telephone | 9122318727 |
| Mailing Fax Number | 9122318730 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MARK ANTHONY DOUGLAS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9122318727 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| Street Address |
2111 PRICE ST |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31401-9049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760031470 | Leslie Beatrice Dixon | Technician | 1109 Harmon Street, Savannah, GA 31401 | 2019-09-05 |
| 1912444621 | Sarah Kristen Shuman | Counselor | 140 East 40th St, Savannah, GA 31401 | 2017-01-20 |
| 1427591791 | Catherine Naomi Spann | Licensed Practical Nurse | 107 B Fahm Street, Savannag, GA 31401 | 2016-11-18 |
| 1871952499 | Jesline Palmer | Case Manager/Care Coordinator | 466 Martin Luther King Blvd, Savanah, GA 31401 | 2016-02-11 |
| 1487012894 | Suzanne Waltman Coote | Social Worker | 127 Abercorn St, Suite 301b, Savannah, GA 31401 | 2016-02-01 |
| 1356748032 | Beverly Weaver | Registered Nurse | 107 B Fahm St., Savannah, GA 31401 | 2014-11-25 |
| 1275938011 | Olukemi Olubajo | Dietitian, Registered | 125 Fahm Street, J C Lewis Primary Health Care Center, Savannah, GA 31401 | 2014-10-22 |
| 1346642279 | Kristin Jaski | Social Worker | 127 Abercorn St, Suite 301b, Savannah, GA 31401 | 2014-09-23 |
| 1528497500 | Kathleen Alice Flynn | Nurse Practitioner | 1900 Abercorn Street, Suite 100, Savannah, GA 31401 | 2013-11-11 |
| 1306112248 | Elizabeth Windom Stewart | Nurse Practitioner | 300 Bull St Ste 102, Savannah, GA 31401 | 2012-03-26 |
| Find all providers in zip 31401 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639483563 | Savanna Public School | Public Health or Welfare | Hwy 69 South, Savannah, OK 74565 | 2010-08-03 |
| 1114066578 | Andrew County Health Department | Public Health or Welfare | 106 N 5th St, Savannah, MO 64485-1642 | 2007-02-05 |
| 1477603629 | State of Tennessee | Public Health or Welfare | 1920 Pickwick Street, Savannah, TN 38372 | 2007-01-11 |
| 1164503124 | Chatham County Board of Health | Public Health or Welfare | 107b Fahm Street, Savannah, GA 31401-2391 | 2006-10-18 |
| 1003814278 | Chatham County Board of Health | Public Health or Welfare | 2011 Eisenhower Dr, Savannah, GA 31406-3905 | 2005-07-12 |
| 1679136642 | Glynn County Board of Health | Public Health or Welfare | 420 Mall Blvd, Savannah, GA 31406-4888 | 2019-04-16 |
| 1225365000 | Chatham County Board of Health | Public Health or Welfare | 1395 Eisenhower Dr, Savannah, GA 31406-3901 | 2009-11-16 |
| 1346318573 | Coastal Health District | Public Health or Welfare | 2011 Eisenhower Dr, Savannah, GA 31406-3905 | 2006-12-04 |
| 1023189701 | Phoenix Clinic | Public Health or Welfare | 525 E 34th St, Savannah, GA 31401-8149 | 2006-11-13 |
| 1275618407 | Chatham County Board of Health | Public Health or Welfare | 1395 Eisenhower Dr, Savannah, GA 31406-3901 | 2006-10-26 |
| Find all providers in SAVANNAH | ||||
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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.