STACEY ROSS (NPI# 1356682629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356682629 |
Entity Type | Individual |
Full Name | STACEY ROSS |
Practice Address |
7218 Crestside Dr Austell GA 30168-7022 |
Practice Telephone | 4045439701 |
Mailing Telephone | 4045439701 |
Enumeration Date | 2013-03-11 |
Last Update Date | 2013-03-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083247829 | Stacey Ann Ross | Licensed Vocational Nurse | 8383 Saddle Brook Dr Unit B, Temple, TX 76502-5668 | 2020-02-20 |
1265964514 | Stacey Jo Ross | Technician, Other | 2823 Roccella Ct, Kissimmee, FL 34747-1591 | 2017-03-28 |
1083998793 | Stacey L Ross | Occupational Therapy Assistant | 255 Gros Blvd, Herkimer, NY 13350-1455 | 2011-09-30 |
1992937460 | Stacey Ross | Nurse Practitioner | 1940 5th Ave Ste 200, San Diego, CA 92101-2364 | 2009-08-18 |
1376942193 | Stacey Ross | Speech-Language Pathologist | 9464 Us Highway 36, Saint Paris, OH 43072-9367 | 2014-08-18 |
1356628069 | Stacey J Ross | Occupational Therapist | 106 Washington Ave, Plainview, NY 11803-4047 | 2011-11-09 |
1164737896 | Stacey Apple Ross | Physical Therapist | 7640 Highway 70 S, Suite 210, Nashville, TN 37221-1758 | 2010-08-18 |
1881797694 | Stacey L. Ross | Registered Nurse | 265 S Scatterfield Rd, Anderson, IN 46012-5106 | 2006-09-07 |
Street Address |
7218 CRESTSIDE DR |
City | AUSTELL |
State | GA |
Zip Code | 30168-7022 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891204392 | Niquetta Adell Flowers | Counselor | 6621 Crossing Creek Pt., Austell, GA 30168 | 2017-09-27 |
1215456637 | Rashanda Knight | Occupational Therapist | 6581 Coventry Point, Austell, GA 30168 | 2017-09-18 |
1750757431 | Fragments Ministry Inc. | Transportation Broker | 5793 James Road, Austell, GA 30168 | 2015-08-17 |
1851443303 | Kathleen S Jarboe | Registered Nurse | 1707 North Blairs Bridge Road, Austell, GA 30168 | 2007-01-17 |
1104975648 | Deborah Bryan | Social Worker | 6133 Love Street, Austell, GA 30168 | 2007-01-10 |
1982252250 | Yosefa Stokes | Nurse Practitioner | 1707 North Blairs Bridge Road, Austell, GA 30168 | 2019-08-29 |
1255840989 | K&n Compression Therapy Services, LLC | Durable Medical Equipment & Medical Supplies | 3915 Cascade Rd, Atlanta, GA 30168 | 2017-09-26 |
1205049285 | William M Battles | Psychiatry & Neurology | 1707 North Blairs Bridge Road, Austell, GA 30168 | 2007-05-07 |
1427198878 | Douglas County Community Services Board | Community/Behavioral Health | 1707 North Blairs Bridge Road, Austell, GA 30168 | 2007-02-07 |
1942381363 | Aleah Hudson Morrow | Counselor | 2710 Jefferson St, Ste 6, Austell, GA 30168 | 2006-10-19 |
Find all providers in zip 30168 |
Taxonomy Code | 385HR2060X |
Grouping | Respite Care Facility |
Classification | Respite Care |
Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689203952 | Shirley Ann Byrd | Respite Care | 45 Lake Shore Blvd, Savannah, GA 31407-3612 | 2020-04-07 |
1518447978 | Mk In Home Care Services | Respite Care | 241 Hillcrest Dr, Stockbridge, GA 30281-1762 | 2018-08-15 |
1104326834 | Brenda Snow Jacobs | Respite Care | 147 Summerfield Dr, Mcdonough, GA 30253-5308 | 2018-02-19 |
1922545805 | Joyous Care LLC | Respite Care | 1926 Oglesby Bridge Rd Sw, Conyers, GA 30094-4239 | 2017-01-30 |
1760924278 | Diversified Personal Home Care | Respite Care | 145 Mcintosh Place Dr, Fayetteville, GA 30214-7318 | 2016-11-15 |
1538539093 | Southerland Clark Enterprises LLC | Respite Care | 315 N. Louisville St., Harlem, GA 30814 | 2015-09-28 |
1326385956 | Best Care Group Home Inc. | Respite Care | 1359 Edgewood Ave, Douglas, GA 31533-4543 | 2013-01-16 |
1558612374 | Care Wind Place, Inc | Respite Care | 2895 Jordan Ave, Macon, GA 31217-4919 | 2012-09-20 |
1730439159 | Comfort Zone Personal Care Home LLC | Respite Care | 485 Frog Rd, Locust Grove, GA 30248-3505 | 2012-09-13 |
1902121809 | Grace Healthcare Services Inc | Respite Care | 1010 Slater Street, Valdosta, GA 31601 | 2010-04-02 |
Find all providers with the same taxonomy |
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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.