PUBLIC HEALTH HOME HEALTH, INC. (NPI# 1285648568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285648568 |
| Entity Type | Organization |
| Organization Name | PUBLIC HEALTH HOME HEALTH, INC. |
| Practice Address |
3169 Inner Perimeter Rd Valdosta GA 31602-1062 |
| Mailing Address |
Po Box 3284 Valdosta GA 31604-3284 |
| Practice Telephone | 2292531242 |
| Practice Fax Number | 2292531151 |
| Mailing Telephone | 2292531242 |
| Mailing Fax Number | 2292531151 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. DENISE RETTERBUSH (CEO) |
| Authorized Official Telephone | 2292531067 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 092-207 | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00056845I | 05 | |
| GA | 00056845A | 05 | |
| GA | 00056845B | 05 |
| Street Address |
3169 INNER PERIMETER RD |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-1062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255345534 | Public Health Personal Support Services, Inc. | Home Health | 3169 Inner Perimeter Rd, Valdosta, GA 31602-1062 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
| 1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
| 1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
| 1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
| 1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
| 1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
| 1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
| 1962922427 | Taylor Nicole Fiveash | Nurse Practitioner | 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 | 2017-06-26 |
| 1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
| 1134670557 | Cataract and Laser Surgery Center of South Georgia, P.C. | Clinic/Center | 4120-b N. Valdosta Rd., Valdosta, GA 31602 | 2016-10-20 |
| Find all providers in zip 31602 | ||||
| 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 |
|---|---|---|---|---|
| 1588200059 | Southern Home Care Services, Inc. | Home Health | 2318 N Patterson St, Valdosta, GA 31602-2511 | 2019-11-20 |
| 1912549916 | Dekoya Wallace-adams | Home Health | 1804 E Park Ave, Valdosta, GA 31602-4414 | 2019-10-10 |
| 1538654173 | Sandra Denise Smith Jones | Home Health | 704 Lake Park Rd, Valdosta, GA 31601-6195 | 2018-06-26 |
| 1376038042 | Restoration Care Services, LLC | Home Health | 704 Lake Park Road, Valdosta, GA 31601 | 2018-06-26 |
| 1033580907 | Tmh Home & Wellness LLC | Home Health | 528 N Troup St, Valdosta, GA 31601-4734 | 2015-10-16 |
| 1154737559 | Guardian In-home Care, LLC | Home Health | 3647 Druid Oaks Dr, Valdosta, GA 31605-6545 | 2014-07-07 |
| 1336493550 | Spectrum Family Care LLC | Home Health | 3403 Bemiss Rd, Suite C, Valdosta, GA 31605-7062 | 2012-11-09 |
| 1518195866 | Southern Home Care Services, Inc. | Home Health | 3020 N Patterson St, Valdosta, GA 31602-1711 | 2009-06-25 |
| 1780790022 | Southern Home Care Services | Home Health | 1700 E Park Ave, Valdosta, GA 31602-3400 | 2006-08-21 |
| 1720036494 | Amedisys Georgia, L.L.C. | Home Health | 2947 N Ashley St, Suite C, Valdosta, GA 31602-1706 | 2006-05-05 |
| Find all providers in VALDOSTA | ||||
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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.