BRENDAS LOVE PERSONAL CARE HOME LLC


Address: 8239 Queens Dr, Jonesboro, GA 30238-2946
Phone: 4046559802

BRENDAS LOVE PERSONAL CARE HOME LLC (NPI# 1356962062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356962062
Entity Type Organization
Organization Name BRENDAS LOVE PERSONAL CARE HOME LLC
Practice Address 8239 Queens Dr
Jonesboro
GA 30238-2946
Mailing Address 8762 Edenton Way
Jonesboro
GA 30238-4494
Practice Telephone 4046559802
Mailing Telephone 4046559802
Enumeration Date 2020-05-04
Last Update Date 2020-05-04
Authorized Official Name CASSANDRA MOTEN (OWNER)
Authorized Official Telephone 4046669802
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 311ZA0620X Custodial Care Facility
Specialization: Adult Care Home
Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
GA NONE 05

Other Provider/Organization Names

Other Name Type Code
Brendas Love PCH Other Name - Individual/Organization

Office Location

Street Address 8239 QUEENS DR
City JONESBORO
State GA
Zip Code 30238-2946

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366969636 K&p Gentle Hnads Homecare Home Health 772 Pointe South Pkwy, Apt. 501, Jonesboro, GA 30238 2017-08-27
1568991214 Rehab Medical, Inc Durable Medical Equipment & Medical Supplies 8568 Highway 85, Jonesboro, GA 30238 2017-06-07
1821472077 Surgivue First Assisting Nurse Practitioner 5865 Sinclair Way, Jonesboro, GA 30238 2015-07-17
1518384106 Visions of Life Behavioral Health Services, Incorporated Counselor 754 Chapman Street, Jonesboro, GA 30238 2014-03-21
1942560206 Terri L Lee Counselor 7899 Waterwheel Way, Jonesboro, GA 30238 2012-05-21
1265704985 Visiting Homecare Support Services, Inc. Home Health 10886 Tara Village Way, Jonesboro, GA 30238 2012-01-27
1518297175 Heavenly Assisted Care, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 10555 Aspenwood Ct, Jonesboro, GA 30238 2010-01-05
1649419821 Carmen Melton Douglas Speech-Language Pathologist 10354 Shepperton Court, Jonesboro, GA 30238 2009-02-12
1205050259 Caryn Ann Grzesiakowski Chiropractor 809 Flint River Road, Suite #4, Jonesboro, GA 30238 2007-04-12
1548325483 Janet Musser Granski Social Worker 110 North Bend Court, Jonesboro, GA 30238 2006-12-22
Find all providers in zip 30238

Taxonomy Information

Taxonomy Code 311ZA0620X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility
Specialization Adult Care Home

Taxonomy Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750795480 What A Day Adult Daycare Custodial Care Facility 177 College St, Jonesboro, GA 30236-3581 2014-06-20
1184933186 Grace Personal Care Home Living Inc Custodial Care Facility 2625 New Haven Dr, Jonesboro, GA 30236-2737 2010-09-25
1487858528 Universal Investment Svc LLC Custodial Care Facility 246 Canterbury Dr, Jonesboro, GA 30238-2187 2007-06-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1679174437 United Hands Support Services Custodial Care Facility 735 Ridge Rd, Canton, GA 30114-4170 2020-11-06
1679174429 Golden Peak Senior Living Corp Custodial Care Facility 411 Edmond St, Calhoun, GA 30701-5334 2020-11-06
1023615531 Lillian Womble Custodial Care Facility 3232 Union Church Road, Warthen, GA 31094 2020-10-07
1750995155 Jacqueline Dingle Custodial Care Facility 604 Sugarbush Cir, Savannah, GA 31406-4434 2020-09-02
1114549763 Idella's Angels Custodial Care Facility 270 13th Ave Sw, Cairo, GA 39828-3423 2020-05-16
1801421094 Lj's Personal Care Home, LLC Custodial Care Facility 415 E 18th St Sw, Rome, GA 30161-6544 2020-03-08
1356984041 Manuel Carl Mckenzie IIi Custodial Care Facility 4893 Candlewood Ln, Stone Mountain, GA 30088-1605 2019-10-24
1457904310 Renaissance Healthcare LLC Custodial Care Facility 419 Airport Rd, Griffin, GA 30224-4834 2019-07-19
1225697873 Tahirah Johnston Custodial Care Facility 1657 Hallmark Hills Dr, Griffin, GA 30223-8790 2019-06-07
1508420613 Rosa Amanda Hill Custodial Care Facility 1073 Davis Rd, Culloden, GA 31016-5843 2019-04-24
Find all providers with the same taxonomy

Competitor

Search similar providers

City JONESBORO
Zip Code 30238

Improve Information

Please comment or provide details below to improve the information on BRENDAS LOVE PERSONAL CARE HOME LLC.

Dataset Information

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.

Trending Searches