EXTON LLC (NPI# 1376978155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376978155 |
| Entity Type | Organization |
| Organization Name | EXTON LLC |
| Other Organization Name | TIARA'S ADULT PERSONAL CARE HOME |
| Practice Address |
220 Price Rd Fayetteville GA 30215-2019 |
| Practice Telephone | 7707193577 |
| Practice Fax Number | 6783894783 |
| Mailing Telephone | 7707193577 |
| Mailing Fax Number | 6783894783 |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2013-09-11 |
| Authorized Official Name | MS. TINA TOPPING (CEO) |
| Authorized Official Telephone | 7703697355 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
05601017-1 | GA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Tiara's Adult Personal Care Home | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | EXTON LLC | Po Box 3174, Tortola, Road Town, Bvi, |
| Street Address |
220 PRICE RD |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30215-2019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801370051 | Truly Nourished, LLC | Dietitian, Registered | 500 West Lanier Ave., Suite 908, Fayetteville, GA 30215 | 2018-09-23 |
| 1104343839 | Pandora G Brown | Specialist | 65 Black Watch Ct, Fayetteville, GA 30215 | 2017-08-23 |
| 1902264492 | Ty-re Lamont Dixon Sr. | Durable Medical Equipment & Medical Supplies | 220 Shoreline Dr., Fayetteville, GA 30215 | 2016-01-29 |
| 1962870030 | Matthew Christian Alvarez | Dentist | 113 Ebenezer Rd Ste 101, Fayetteville, GA 30215 | 2015-09-08 |
| 1831534346 | Kevin Tyler Goelz | Radiology | 605 Wentworth Ct, Fayetteville, GA 30215 | 2013-05-10 |
| 1518249739 | William J. Holcomb | Pharmacist | 880 Hwy 85 South, Fayetteville, GA 30215 | 2011-09-14 |
| 1407168131 | All Care Home Health Equipment, LLC | Durable Medical Equipment & Medical Supplies | 1000 Cooper Circle, Suite 201, Fayetteville, GA 30215 | 2010-07-10 |
| 1083854160 | Rachel Blanks | Licensed Practical Nurse | 170 Brookwood Lane, Fayetteville, GA 30215 | 2009-03-02 |
| 1093964975 | Brenda Carole Hayek | Nurse Practitioner | 735 Glynn Street S, Fayetteville, GA 30215 | 2008-09-16 |
| 1174700769 | Katheryn D. Mcdonell | Counselor | 110 Dawn Drive, Fayetteville, GA 30215 | 2008-01-25 |
| Find all providers in zip 30215 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790299717 | Just One Touch Homes | Custodial Care Facility | 2320 Rustic Trl, Fayetteville, NC 28306-3238 | 2017-11-29 |
| 1982063327 | Subtle Living, LLC | Custodial Care Facility | 183 Bonney Ln, Fayetteville, NC 28306-3735 | 2016-02-13 |
| 1164824322 | Sure Care | Custodial Care Facility | 110 Sylvan Loop, Fayetteville, GA 30214-7439 | 2014-09-18 |
| 1598070708 | Puretouch Wellness Haven,inc | Custodial Care Facility | 110 Chandler Way, Fayetteville, GA 30215-2122 | 2010-08-11 |
| 1679693600 | Mcleod Family Care Center of Fayetteville | Custodial Care Facility | 248 Livermore Dr, Fayetteville, NC 28314-8616 | 2007-03-31 |
| 1700906070 | Glenn Krystle Manor | Custodial Care Facility | 220 Davis St, Fayetteville, NC 28305-5346 | 2007-03-30 |
| 1124153382 | Mclean Family Care Home | Custodial Care Facility | 6487 Pleasant Rd, Fayetteville, NC 28314-0552 | 2007-02-21 |
| 1477604288 | Mcduffie Personal Care Services Inc | Custodial Care Facility | 1826 Wendover Dr, Fayetteville, NC 28304-1426 | 2007-01-16 |
| 1699847541 | Sophia B Pierce & Associates Inc | Custodial Care Facility | 611 Country Club Drive, Fayetteville, NC 28301 | 2006-11-15 |
| 1316584782 | Ga Hc Reit II Fayetteville Alf Trs Sub, LLC | Custodial Care Facility | 1164 71st School Rd, Fayetteville, NC 28314-2817 | 2019-12-04 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30215 |
Please comment or provide details below to improve the information on EXTON LLC.
| 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.