PROFESSIONAL MEDICAL INSTITUTE INC DBA PROFESSIONAL MEDICAL HOME CARE (NPI# 1356712830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356712830 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL MEDICAL INSTITUTE INC DBA PROFESSIONAL MEDICAL HOME CARE |
| Other Organization Name | PROFESSIONAL MEDICAL HOME CARE AGENCY |
| Practice Address |
4336 Covington Hwy Suite 202 Decatur GA 30035-1211 |
| Practice Telephone | 4042897178 |
| Practice Fax Number | 4042897178 |
| Mailing Telephone | 4042897178 |
| Mailing Fax Number | 4042897178 |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2015-10-09 |
| Authorized Official Name | MRS. MALVALENE WILLIAMS HURSEFIELD (ASST. ADMINISTRATOR) |
| Authorized Official Telephone | 4044645360 |
| Authorized Official Credential | REGISTEREDE NURS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | 044-R-1097 | GA | Agencies |
| Other Name | Type Code |
|---|---|
| professional medical home care agency | Doing Business As Name - Organization |
| Street Address |
4336 COVINGTON HWY SUITE 202 |
| City | DECATUR |
| State | GA |
| Zip Code | 30035-1211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972079978 | James L Vinson, Phd | Home Health Aide | 4050 Snapfinger Woods Drive, Suite 201, Decatur, GA 30035 | 2018-10-17 |
| 1417445206 | Kamla Gonzales | Nurse Practitioner | 5146 Miller Woods Trl, Decatur, GA 30035 | 2018-04-26 |
| 1578924924 | Alicia Marie Johnson Bryant | Social Worker | 5878 Covington Hwy, Decater, GA 30035 | 2016-03-14 |
| 1568865756 | Tracy Roberson | Counselor | 4150 Snapfinger Woods Drive, Decatur, GA 30035 | 2014-10-01 |
| 1972927861 | Tyrone D. Lane Enterprises, Incorporated | Psychologist | 5304 Panola Industrial Boulevard, Suite L, Decatur, GA 30035 | 2014-02-12 |
| 1013255355 | Mervin E Williams | Pharmacist | 2075 South Hairston, Decatur, GA 30035 | 2013-01-22 |
| 1205187572 | Mariana Simpson-walker | Speech-Language Pathologist | 4262 Clausell Ct Ste A, Decatur, GA 30035 | 2012-09-27 |
| 1053683854 | Jimiesh G Crane | Dentist | 5243 Snapfinger Woods Dr Ste 105, Decatur, GA 30035 | 2012-02-08 |
| 1568765824 | Salih Robinson | Health Educator | 2511 Lantrac Ct, Decatur, GA 30035 | 2010-12-08 |
| 1831428234 | Thomas Counseling | Counselor | 3781 Presidential Parkway, Suite 111c, Chamblee, GA 30035 | 2009-12-14 |
| Find all providers in zip 30035 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245859867 | Staffsure LLC | In Home Supportive Care | 549 Daniel Ave, Decatur, GA 30032-4011 | 2020-04-14 |
| 1750847547 | Right-hand Help Care, LLC. | In Home Supportive Care | 3207 Bobbie Ln, Decatur, GA 30032-2422 | 2019-02-16 |
| 1316451586 | Champion Companions of Atlanta LLC | In Home Supportive Care | 3100 Lumby Dr Apt 626, Decatur, GA 30034-7602 | 2017-11-27 |
| 1235588526 | Elicade, LLC | In Home Supportive Care | 443 Pine Ave Sw, Decatur, AL 35601-7631 | 2016-06-07 |
| 1588011266 | Havenoaks Services, Inc | In Home Supportive Care | 1456 Mclendon Dr, Suite A, Decatur, GA 30033-1848 | 2016-05-23 |
| 1124473863 | Sunbridge Home Health Care, Inc. | In Home Supportive Care | 303 2nd Ave Se, Decatur, AL 35601-2325 | 2016-05-02 |
| 1225436751 | God's Helper's Private Home Care, LLC | In Home Supportive Care | 1916 Willa Dr, Decatur, GA 30032 | 2014-12-16 |
| 1487086856 | Angel Arms Senior Home Care | In Home Supportive Care | 522 14th St Se, Decatur, AL 35601-5908 | 2013-08-07 |
| 1881963577 | Secured Care Home Health Services Inc. | In Home Supportive Care | 2964 Ember Dr, Suite 137, Decatur, GA 30034-1505 | 2011-12-26 |
| 1114248267 | B'home Senior Care & Living Services, Inc. | In Home Supportive Care | 1204 N Business 287, Decatur, TX 76234-3419 | 2010-06-11 |
| Find all providers in DECATUR | ||||
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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.