MADISON AT THE VALENCIA, LLC (NPI# 1356698005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356698005 |
| Entity Type | Organization |
| Organization Name | MADISON AT THE VALENCIA, LLC |
| Other Organization Name | THE VALENCIA PERSONAL CARE HOME |
| Practice Address |
605 South Valencia Drive Albany GA 31707 |
| Practice Telephone | 2294207971 |
| Practice Fax Number | 2294207971 |
| Mailing Telephone | 2294207971 |
| Mailing Fax Number | 2294207971 |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2016-05-13 |
| Authorized Official Name | MS. JANICE TEEMER (ADMINISTRATOR / CEO) |
| Authorized Official Telephone | 2294207971 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| The Valencia Personal Care Home | Doing Business As Name - Organization |
| Street Address |
605 SOUTH VALENCIA DRIVE |
| City | ALBANY |
| State | GA |
| Zip Code | 31707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396394011 | Barbara Cannon | Technician | 2025 Gail Avenue, Albany, GA 31707 | 2019-09-05 |
| 1669941035 | Wallace Coleman | Counselor | 2403 Osler Court, Suite B, Albany, GA 31707 | 2018-11-15 |
| 1992293955 | Tiffany Timmerman | Massage Therapist | Albany Therapeutic Massage Clinic, 1534 Dawson, Rd, Albany, GA 31707 | 2018-04-25 |
| 1225550957 | Christopher George Solomon | Nurse Practitioner | 2336 Dawson Rd., Urgent Care Center At Phoebe Northwest, Albany, GA 31707 | 2017-07-14 |
| 1689107229 | Teemercare @ Home LLC | Home Health | 1129 Dawson Rd Ste A, Albany, GA 31707 | 2017-04-11 |
| 1205373917 | Nicarro Henderson | Specialist | 2005 E Dawson Rd, Albany, GA 31707 | 2017-01-20 |
| 1235567918 | Restoration of The Minds LLC | Community/Behavioral Health | 1408 Edgerly Avenue, Albany, GA 31707 | 2013-10-16 |
| 1588091334 | Marsha Danell Glover | Pediatrics | 517 N. Westover Blvd., Albany, GA 31707 | 2013-10-10 |
| 1003253139 | Bailey Healthcare Inc | Community/Behavioral Health | 2416 Suite B Westgate Dr, Albany, GA 31707 | 2013-05-30 |
| 1346685666 | Albany Urology Surgery Center LLC | Clinic/Center | 2400 Osler Court, Albany, GA 31707 | 2013-04-30 |
| Find all providers in zip 31707 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959821 | Northwest Hc Cambridge Terrace (or) Operator Nt-hci, LLC | Assisted Living Facility | 2800 14th Ave Se, Albany, OR 97322-7079 | 2020-07-10 |
| 1942714605 | Shirley Ann Williams | Assisted Living Facility | 900 W Residence Ave, Albany, GA 31701-1783 | 2017-11-16 |
| 1215195052 | A C Meadows | Assisted Living Facility | 2121 Martin Luther King Jr Dr Bldg B, Albany, GA 31701-4112 | 2008-05-29 |
| 1366609844 | Pines Personal Care Home IIi Als | Assisted Living Facility | 2121 Martin Luther King Jr Dr Bldg C, Albany, GA 31701-4112 | 2008-05-21 |
| 1629235106 | Pines Personal Care Home II Als | Assisted Living Facility | 2121 Martin Luther King Jr Dr Bldg D, Albany, GA 31701-4112 | 2008-05-21 |
| 1164689915 | Pines Personal Care Home, Inc. | Assisted Living Facility | 2121 Martin Luther King Jr Dr Bldg A, Albany, GA 31701-4112 | 2008-05-20 |
| 1134304819 | Peaceful Manor Retirement Home | Assisted Living Facility | 2412 Cardinal St, Albany, GA 31701-1161 | 2007-12-31 |
| 1609072131 | Family Extended Care of Albany, Inc. | Assisted Living Facility | 2821 Gillionville Rd, Albany, GA 31721-2951 | 2007-06-22 |
| 1740495464 | Mcauley Living Services Inc. | Assisted Living Facility | 308 S Manning Blvd, Albany, NY 12208-1708 | 2007-05-14 |
| 1831316439 | Magnolia Place, Inc. | Assisted Living Facility | 6430 Newton Rd, Albany, GA 31721-5627 | 2007-04-18 |
| Find all providers in ALBANY | ||||
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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.