EVELYN ANITA ANDERSON (NPI# 1295342731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295342731 |
Entity Type | Individual |
Full Name | EVELYN ANITA ANDERSON |
Practice Address |
202 Charlie Fuller Rd Grantville GA 30220-2801 |
Practice Telephone | 7709272290 |
Practice Fax Number | 4045222935 |
Mailing Telephone | 7709272290 |
Mailing Fax Number | 4045222935 |
Enumeration Date | 2020-09-29 |
Last Update Date | 2020-09-29 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3140N1450X |
Skilled Nursing Facility Specialization: Nursing Care, Pediatric |
113357 | GA | Nursing & Custodial Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710464474 | Evelyn K Anderson | Social Worker | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2018-07-25 |
1134674633 | Evelyn Ann Anderson | Community Health Worker | 2200 3rd Ave, Rock Island, IL 61201-8840 | 2016-08-25 |
1609191907 | Evelyn Anderson | Social Worker | 10300 Sw 216th St, Miami, FL 33190 | 2010-03-30 |
1376584037 | Evelyn Kelly Anderson | Family Medicine | 1301 Dove St, Monroe, NC 28112-5012 | 2006-06-10 |
1154385011 | Evelyn Yvonne Anderson | Registered Nurse | 690 Barnes Blvd, Mcchord Afb, WA 98438-1303 | 2006-04-17 |
Street Address |
202 CHARLIE FULLER RD |
City | GRANTVILLE |
State | GA |
Zip Code | 30220-2801 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952698391 | Super Nurses Home Care Inc | In Home Supportive Care | 202 Charlie Fuller Rd, Grantville, GA 30220-2801 | 2011-07-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376816033 | Super Nurses, Inc. | In Home Supportive Care | 241 Charlie Fuller Rd Ste B, Grantville, GA 30220 | 2012-02-10 |
1255594669 | Felecian D Jones Md PC | Internal Medicine | 33 Church Street, Grantville, GA 30220 | 2008-07-07 |
1578755955 | James Alastair Stunden | Emergency Medical Technician, Paramedic | 280 Grandma Branch Rd, Grantville, GA 30220-1733 | 2007-08-09 |
1902042799 | Charlsie Faith Moore | Registered Nurse | 1545 Bethlehem Church Rd, Grantville, GA 30220-1835 | 2008-12-28 |
1578936233 | Frances Amey | Home Health Aide | 104 Jenny Rd, Grantville, GA 30220-2134 | 2015-11-03 |
1487094876 | Janet Lyneese Pippins | Adult Companion | 108 Brasch Park Dr, Grantville, GA 30220-2139 | 2013-06-28 |
1265966071 | Gifted Hands Home Care Services, LLC | Home Health | 157 Hines Cir, Grantville, GA 30220-2361 | 2017-04-18 |
1922448943 | Dow & Dow Inc | Case Management | 7633 Forrest Rd, Grantville, GA 30220-2370 | 2013-07-05 |
1093002784 | Super Nurses Hospice Inc | Hospice Care, Community Based | 241 Charlie Fuller Rd, Grantville, GA 30220-2815 | 2011-07-01 |
1811425853 | Jared Reichard | Nurse Practitioner | 65 Sunrise Dr, Grantville, GA 30220-2854 | 2017-06-02 |
Find all providers in zip 30220 |
Taxonomy Code | 3140N1450X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Skilled Nursing Facility |
Specialization | Nursing Care, Pediatric |
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447731484 | Shaydrea L Chapman | Skilled Nursing Facility | 337 Martin Dr, Jonesboro, GA 30238-5764 | 2018-08-28 |
1598253684 | Comfort Community Center, LLC | Skilled Nursing Facility | 2440 Sandy Plains Road, Blvd 21, Suite 100, Marietta, GA 30066 | 2018-04-25 |
1306399936 | Dickson Osanu | Skilled Nursing Facility | 4405 Mall Blvd Ste 315, Union City, GA 30291-2070 | 2016-08-01 |
1053732842 | Mercy's Quality Home Care, LLC300562457 | Skilled Nursing Facility | 120 Northberry St., Suite 101, Stockbridge, GA 30281-1093 | 2013-12-20 |
1568802239 | Elite Care Angels Inc | Skilled Nursing Facility | 571 Pennylake Ln, Stone Mountain, GA 30087-5769 | 2013-06-26 |
1841575354 | Latoya Winston | Skilled Nursing Facility | 3253 Diamond Blf, Union City, GA 30291 | 2011-10-15 |
1235379405 | Dc Enterprise | Skilled Nursing Facility | 285 Wild Iris Ln, Clarkesville, GA 30523-1849 | 2009-03-02 |
1396900247 | Childrens Healthcare of Atlanta | Skilled Nursing Facility | 494 Rising Sun Path, Lawrenceville, GA 30043-3169 | 2008-07-21 |
1558545665 | Regina Nateya Cooks | Skilled Nursing Facility | 4940 Peachtree Industrial Blvd, 310, Norcross, GA 30071-1599 | 2007-12-26 |
1083796106 | Ckcg Healthcare Services,inc | Skilled Nursing Facility | 5995 Oakbrook Pkwy, Suite -b, Norcross, GA 30093 | 2006-10-19 |
Find all providers with the same taxonomy |
City | GRANTVILLE |
Zip Code | 30220 |
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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.