BENCURA, INC. (NPI# 1316237241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316237241 |
| Entity Type | Organization |
| Organization Name | BENCURA, INC. |
| Practice Address |
125 Townpark Dr Nw Ste 300 Kennesaw GA 30144-5812 |
| Mailing Address |
6478 Putnam Ford Dr Suite 116 Woodstock GA 30189-6984 |
| Practice Telephone | 8554236287 |
| Practice Fax Number | 6786691562 |
| Mailing Telephone | 6784948045 |
| Mailing Fax Number | 6784948047 |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2018-02-07 |
| Authorized Official Name | MRS. ALTHA C SANDOVAL (CEO) |
| Authorized Official Telephone | 8554236287 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 225X00000X | Occupational Therapist | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 235Z00000X | Speech-Language Pathologist | GA | Speech, Language and Hearing Service Providers | |
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
GA | Ambulatory Health Care Facilities |
| Street Address |
125 TOWNPARK DR NW STE 300 |
| City | KENNESAW |
| State | GA |
| Zip Code | 30144-5812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225263718 | Camille Harris | Counselor | 125 Townpark Dr Nw Ste 300, Kennesaw, GA 30144-5812 | 2009-05-27 |
| 1043877269 | William J Rivers IIi Md LLC | Physical Medicine & Rehabilitation | 125 Townpark Dr Nw Ste 300, Kennesaw, GA 30144-3231 | 2019-05-22 |
| 1255830980 | Carly Junkins | Physical Therapy Assistant | 125 Townpark Dr Nw Ste 300, Kennesaw, GA 30144-5812 | 2018-02-08 |
| 1093214801 | Sarah Rice | Speech-Language Pathologist | 125 Townpark Dr Nw Ste 300, Kennesaw, GA 30144-5812 | 2018-02-07 |
| 1487153201 | Tanisha Franklin | Occupational Therapy Assistant | 125 Townpark Dr Nw Ste 300, Kennesaw, GA 30144-5812 | 2018-02-07 |
| 1801395637 | Arlette Mairesse | Occupational Therapist | 125 Townpark Dr Nw Ste 300, Kennesaw, GA 30144-5812 | 2018-02-07 |
| 1790153369 | Karla Thomas Snider | Physical Therapist | 125 Townpark Dr Nw Ste 300, Kennesaw, GA 30144-5812 | 2015-09-12 |
| 1427483684 | Kimberly Blythe Reed | Physical Therapist | 125 Townpark Dr Nw Ste 300, Kennesaw, GA 30144-5812 | 2013-09-06 |
| 1598001737 | John Michael Steinberger | Physical Therapy Assistant | 125 Townpark Dr Nw Ste 300, Kennesaw, GA 30144-5812 | 2012-12-17 |
| 1255684700 | Carlene Kamilah White | Registered Nurse | 125 Townpark Dr Nw Ste 300, Kennesaw, GA 30144-5812 | 2012-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1487149340 | Creative Family Care Inc. | Social Worker | 1275 Shiloh Rd Nw Ste 3030, Kennesaw, GA 30144 | 2018-06-24 |
| 1033632203 | Octavio Andres Tobar | Specialist/Technologist | 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 | 2017-07-19 |
| 1851829220 | Sharon Mcmillan | Counselor | 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 | 2017-05-31 |
| 1073054680 | Metropolitan Health Care Plus Inc | Home Health | 445 Laurian Way, Kennesaw, GA 30144 | 2017-03-15 |
| 1649627969 | Caresouth Hha Holdings of Gainesville, LLC | Hospice Care, Community Based | 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 | 2016-05-17 |
| 1851745988 | Joseph Mulligan | Social Worker | 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 | 2016-04-14 |
| 1629438601 | Youfit Health Clubs | Clinic/Center | 3895 Cherokee St Suite 100, Kennesaw, GA 30144 | 2016-03-03 |
| 1598156317 | Jodie Evans | Specialist | 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 | 2015-02-16 |
| 1912302134 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 | 2014-10-30 |
| Find all providers in zip 30144 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265046346 | Children's 1st Rehabilitation Center, Inc | Clinic/Center | 239 Village Center Pkwy Ste 190, Stockbridge, GA 30281-9024 | 2020-09-04 |
| 1124487749 | Pathway Outpatient Services, LLC | Clinic/Center | 241 Lemon St Ne, Marietta, GA 30060-1644 | 2016-02-11 |
| 1679915284 | Milestone Pediatric Therapy Services Inc. | Clinic/Center | 526 Jefferson Walk Cir, Jefferson, GA 30549-5573 | 2013-07-24 |
| 1013253376 | Southern Therapy Associates | Clinic/Center | 19350 Hartford St, Edison, GA 39846-5617 | 2012-12-13 |
| 1851578074 | Champion Fit Wellness | Clinic/Center | 3617 Salem Rd, Covington, GA 30016-4552 | 2008-01-30 |
| 1013472026 | Parrott Solutions, LLC | Clinic/Center | 6670 James B Rivers Memorial Drive, Stone Mountain, GA 30083 | 2019-02-04 |
| 1083144109 | Southern Health Corp of Ellijay | Clinic/Center | 1362 S Main St, Ellijay, GA 30540-5410 | 2017-06-13 |
| 1700129798 | Martha Sam | Clinic/Center | 1203 Cleveland Ave, Suite 1 A, East Point, GA 30344-3417 | 2013-03-28 |
| 1568705572 | Fleming Medical Center Inc | Clinic/Center | 1203 Cleveland Ave, 1 A, East Point, GA 30344-3417 | 2013-03-28 |
| 1629326178 | Johns Creek Therapy Center, LLC | Clinic/Center | 4255 Johns Creek Pkwy, Suite A, Suwanee, GA 30024-6122 | 2012-08-15 |
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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.