STATEWIDE HEALTH CARE INC (NPI# 1295279495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295279495 |
| Entity Type | Organization |
| Organization Name | STATEWIDE HEALTH CARE INC |
| Practice Address |
102 Oglethorpe Professional Ct Suite 4 Savannah GA 31406-3600 |
| Practice Telephone | 9122318958 |
| Practice Fax Number | 9122347701 |
| Mailing Telephone | 9122318958 |
| Mailing Fax Number | 9122347701 |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2016-12-07 |
| Authorized Official Name | J CRAIG GORDON (CEO) |
| Authorized Official Telephone | 9122318958 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000510243C | 05 | |
| GA | 000510529AA | 05 | |
| GA | 000510529B | 05 | |
| GA | 000510529Y | 05 | |
| GA | 000621288A | 05 | |
| GA | 000510243B | 05 | |
| GA | 000510243D | 05 |
| Street Address |
102 OGLETHORPE PROFESSIONAL CT SUITE 4 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31406-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902961741 | Statewide Healthcare, Inc | Home Health | 102 Oglethorpe Professional Ct, Suite 4, Savannah, GA 31406-3600 | 2006-12-22 |
| 1902159429 | Statewide Healthcare Inc | Home Health | 102 Oglethorpe Professional Ct, 4, Savannah, GA 31406-3600 | 2012-10-22 |
| 1982994307 | Statewide Healthcare Inc. | Case Management | 102 Oglethorpe Professional Ct, Suite 4, Savannah, GA 31406-3600 | 2011-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
| 1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
| 1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
| 1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
| 1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
| 1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
| 1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
| 1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
| Find all providers in zip 31406 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003445826 | Transfigurations, LLC | Community/Behavioral Health | 2817 Ryals St, Savannah, GA 31405-1538 | 2020-04-03 |
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1588138986 | Lashley Raleigh Lpc, Ncc, LLC | Community/Behavioral Health | 315 Commercial Dr Ste C3, Savannah, GA 31406-3633 | 2019-01-18 |
| 1043785686 | Winning Life Counseling and Coaching PC | Community/Behavioral Health | 6203 Abercorn Street Suite 108a, Savannah, GA 31405-3140 | 2018-10-10 |
| 1447733779 | Americanwork, Inc. | Community/Behavioral Health | 2812 Bee Rd, Savannah, GA 31404-4202 | 2018-09-12 |
| 1295214633 | Cherished Angel's Inc. | Community/Behavioral Health | 7002 Hodgson Memorial Dr Ste 108, Savannah, GA 31406-1517 | 2018-08-07 |
| 1417409962 | A Better Tomorrow Homecare | Community/Behavioral Health | 3715 Clifton Rd, Savannah, TN 38372-2682 | 2016-11-01 |
| 1750749255 | Comprehensive Wellness Center | Community/Behavioral Health | 16 Twin Oaks Pl, Savannah, GA 31407-5100 | 2016-01-29 |
| 1417337437 | Discover Wholeness Counseling, LLC | Community/Behavioral Health | 8 North Berwick Drive, Savannah, GA 31420 | 2015-06-04 |
| 1194063305 | Dan Mertig Consulting LLC | Community/Behavioral Health | 38 Bimini Dr, Savannah, GA 31419-7205 | 2013-01-22 |
| 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.