FAMCARE CONNECT OF SOUTH CAROLINA LLC (NPI# 1376939520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376939520 |
| Entity Type | Organization |
| Organization Name | FAMCARE CONNECT OF SOUTH CAROLINA LLC |
| Practice Address |
1172 Old Salem Rd Se Conyers GA 30094-5944 |
| Mailing Address |
107 N Oak St Seneca SC 29678-3219 |
| Practice Telephone | 7706338550 |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-04-14 |
| Authorized Official Name | JESSICA LANE (DIRECTOR OF ADMINISTRATION) |
| Authorized Official Telephone | 7706338550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 251E00000X | Home Health | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
1172 OLD SALEM RD SE |
| City | CONYERS |
| State | GA |
| Zip Code | 30094-5944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144461997 | Medi Caregivers, Inc | Hospice Care, Community Based | 1172 Old Salem Rd Se, Conyers, GA 30094-5944 | 2009-03-08 |
| 1962897983 | Famcare Connect of Georgia LLC | Case Management | 1172 Old Salem Rd Se, Conyers, GA 30094-5944 | 2015-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029054 | Darlene Fletcher | Counselor | 827 St. Clair Dr., Conyers, GA 30094 | 2020-10-05 |
| 1194363366 | Clara A Matthews | Physician Assistant | 1930 Windsor Creek Drive Sw, Conyers, GA 30094 | 2019-12-18 |
| 1659838571 | Sensitive Home Care Agency Inc. | PACE Provider Organization | 2225 Morning Dew, Conyers, GA 30094 | 2019-02-27 |
| 1679097992 | Sheira Dennis | Case Management | 3828 Martingale Dr Se, Conyers, GA 30094 | 2017-07-28 |
| 1730571399 | Wellness and Trauma Recovery Center | Counselor | 1775 Parker Rd. Building C, Suite 210, Conyers, GA 30094 | 2015-02-19 |
| 1760870612 | Michael Terrell | Technician/Technologist | 806 Cambridge Creek Dr, Conyers, GA 30094 | 2014-12-30 |
| 1538567466 | Jennifer Angela Johnson | Registered Nurse | 2240 Wren Rd Se, Conyers, GA 30094 | 2014-12-09 |
| 1225445208 | Wanda Marcella Rainey-reed | Counselor | 1453 Klondike Rd Sw Ste D, Conyers, GA 30094 | 2014-07-22 |
| 1508155268 | Nicklaus Trent Rice | Obstetrics & Gynecology | 2750 Owens Dr, Conyers, GA 30094 | 2011-04-04 |
| 1720219660 | Candace Alexander | Dentist | 863 Flat Shoals Rd Se, Suite C #220, Conyers, GA 30094 | 2009-07-27 |
| Find all providers in zip 30094 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588178487 | Nnk 4 Living Independently for Excellence (l.i.f.e.) | Community/Behavioral Health | 3030 Edwards Dr Se Ste A, Conyers, GA 30013-1856 | 2017-11-30 |
| 1790202794 | Matters of The Heart Counseling Services, LLC | Community/Behavioral Health | 1226 Royal Dr Sw Ste M, Conyers, GA 30094-5926 | 2017-08-29 |
| 1356889166 | Rhonda Wilson | Community/Behavioral Health | 3088 Brombley Dr Se, Conyers, GA 30013-6468 | 2017-02-01 |
| 1104244482 | Umbrella Healthcare, LLC | Community/Behavioral Health | 2141 Smyrna Rd Sw, Sw, Conyers, GA 30094-6168 | 2014-04-02 |
| 1699119255 | Atlanta Quality Care Solutions, LLC | Community/Behavioral Health | 1990 Old Parker Rd Se, Suite 100, Conyers, GA 30094-6239 | 2013-04-24 |
| 1700129434 | Hopetherapeutic Services | Community/Behavioral Health | 1005 Milstead Ave Ne, Suite 105, Conyers, GA 30012-4581 | 2013-04-01 |
| 1043593791 | Raven Counseling Services, Inc. | Community/Behavioral Health | 867 Commerce Dr Sw, Suite 200-400, Conyers, GA 30094-6604 | 2011-09-20 |
| 1255629218 | The Brighter Future Learning Center | Community/Behavioral Health | 1601 General Arts Rd Nw, Conyers, GA 30012-3855 | 2011-07-12 |
| 1861705329 | Georgia Center for Health, Wellness, and Recovery Inc | Community/Behavioral Health | 1500 Klondike Rd Sw, Suite A-104, Conyers, GA 30094-5179 | 2010-07-26 |
| 1861717985 | The Listening Ear | Community/Behavioral Health | 343 Salem Gate Dr Se, Suite 101, Conyers, GA 30013-1773 | 2010-03-31 |
| Find all providers in CONYERS | ||||
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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.