EVELYN ANITA ANDERSON


Address: 202 Charlie Fuller Rd, Grantville, GA 30220-2801
Phone: 7709272290

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).

Provider Overview

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

Taxonomy

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

Other Providers EVELYN ANDERSON

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

Office Location

Street Address 202 CHARLIE FULLER RD
City GRANTVILLE
State GA
Zip Code 30220-2801

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 3140N1450X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility
Specialization Nursing Care, Pediatric

Taxonomy Definition

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]

Providers in the same taxonomy and state

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

Competitor

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City GRANTVILLE
Zip Code 30220

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Dataset Information

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.

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