EXTENDING COMMUNITY SERVICES FOUNDATION (NPI# 1326392432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326392432 |
| Entity Type | Organization |
| Organization Name | EXTENDING COMMUNITY SERVICES FOUNDATION |
| Practice Address |
3630 Emerald Pt Decatur GA 30034-5739 |
| Practice Telephone | 6787503273 |
| Mailing Telephone | 6787503273 |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2012-10-29 |
| Authorized Official Name | MS. LATASHA D GUY (OWNER/OPERATOR) |
| Authorized Official Telephone | 4045207308 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| Street Address |
3630 EMERALD PT |
| City | DECATUR |
| State | GA |
| Zip Code | 30034-5739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649518002 | Georgia Medical & Healthcare Staffing | Home Health | 3630 Emerald Pt, Decatur, GA 30034-5739 | 2013-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289803 | Kalesha Uneek Presswood | Behavior Technician | 5361 Roswell Rd, Atlanta, GA 30034 | 2020-09-14 |
| 1447876768 | Rosemary Maines | Recreation Therapist | The Maines Group LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1437775764 | The Maines Group, LLC | Adult Companion | The Maines Group, LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1801351994 | Anthony E. Parrish, D.d.s., PC | Dentist | 3653 Flakes Mill Road, Suite E, Deactur, GA 30034 | 2019-02-04 |
| 1164916813 | Lenina O Chi-ukpai | Nurse Practitioner | 2942 Secretariat Ct, Decatur, GA 30034 | 2018-06-17 |
| 1154662765 | Zackery Kanel Thomas | Driver | 2782 Green Marsh Court, Decatur, GA 30034 | 2013-03-06 |
| 1033472642 | Lakeba Hibbler Williams | Counselor | 4147 Flat Shoals Pkwy, Decatur, GA 30034 | 2012-06-19 |
| 1164789632 | Foot Solutions of Georgia | Durable Medical Equipment & Medical Supplies | 3011 S Rainbow Dr, Suite 160, Decatur, GA 30034 | 2012-04-20 |
| 1699096172 | Wanda P Garrett | Social Worker | 3013 Rainbow Drive, Suite 112-e, South Dekalb Office Park, Decatur, GA 30034 | 2010-06-18 |
| 1245558022 | Teresa Behrend Fletcher | Counselor | 3915 Brookside Pkwy, Decatur, GA 30034 | 2010-05-04 |
| Find all providers in zip 30034 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427336346 | Tranquility PCh, LLC | Intermediate Care Facility, Mentally Retarded | 3440 Rainbow Dr, Decatur, GA 30034-1807 | 2011-07-26 |
| 1336362300 | J & J Maupin Group Homes Inc. | Intermediate Care Facility, Mentally Retarded | 5310 E William Street Rd, Decatur, IL 62521-1874 | 2007-04-10 |
| 1487788311 | Alpha Omega Consulting, Inc. | Intermediate Care Facility, Mentally Retarded | 729 S Webster St, Decatur, IL 62521-2672 | 2007-03-15 |
| 1295869121 | Alpha Omega Consulting, Inc. | Intermediate Care Facility, Mentally Retarded | 3850 E Fulton Ave, Decatur, IL 62521-5088 | 2007-03-15 |
| 1851424998 | Alpha Omega Consulting, Inc. | Intermediate Care Facility, Mentally Retarded | 805 E Johns Ave, Decatur, IL 62521-2681 | 2007-03-14 |
| 1902936420 | Autumn Leaves, Inc. | Intermediate Care Facility, Mentally Retarded | 1479 S 44th St, Decatur, IL 62521-4323 | 2007-03-06 |
| 1306975594 | Autumn Leaves, Inc. | Intermediate Care Facility, Mentally Retarded | 4838 Beacon Street, Decatur, IL 62521 | 2007-03-05 |
| 1891824892 | Autumn Leaves, Inc. | Intermediate Care Facility, Mentally Retarded | 3905 E. Hickory St., Decatur, IL 62521 | 2007-03-05 |
| 1740404896 | J & J Maupin Group Homes Inc. | Intermediate Care Facility, Mentally Retarded | 5310 E William Street Rd, Decatur, IL 62521-1874 | 2007-04-12 |
| 1285857284 | Joe Jac Corp. | Intermediate Care Facility, Mentally Retarded | 5310 E William Street Rd, Decatur, IL 62521-1874 | 2007-04-10 |
| Find all providers in DECATUR | ||||
Please comment or provide details below to improve the information on EXTENDING COMMUNITY SERVICES FOUNDATION.
| 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.