EATONTON FACILITY DEVELOPMENT COMPANY, LLC (NPI# 1376991000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376991000 |
| Entity Type | Organization |
| Organization Name | EATONTON FACILITY DEVELOPMENT COMPANY, LLC |
| Practice Address |
155 Greensboro Rd Eatonton GA 31021 |
| Mailing Address |
34 Upper Riverdale Rd Se Suite 100 Riverdale GA 30274-2635 |
| Practice Telephone | 7709072417 |
| Mailing Telephone | 7709077222 |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2016-06-03 |
| Authorized Official Name | GEORGE W WEST (CFO) |
| Authorized Official Telephone | 7709072417 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315D00000X | Hospice, Inpatient | 007-0309-H | GA | Nursing & Custodial Care Facilities |
| Street Address |
155 GREENSBORO RD |
| City | EATONTON |
| State | GA |
| Zip Code | 31021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
| 1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
| 1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
| 1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
| 1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
| 1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
| 1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
| 1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
| 1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
| 1144634999 | Danielle Paige Martin | Student in an Organized Health Care Education/Training Program | 2400 Bellevue Rd., Suite# 29-b, Dublin, GA 31021 | 2014-06-19 |
| Find all providers in zip 31021 | ||||
| Taxonomy Code | 315D00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Hospice, Inpatient |
| A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient. |
| Notes: Source: AHA Guide, American Hospital Association. |
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|---|---|---|---|---|
| 1841800901 | Reliant Haven Healthcare | Hospice, Inpatient | 5721 Suffex Green Ln, Atlanta, GA 30339-6117 | 2020-08-04 |
| 1912489741 | Sacred Journey Hospice, Inc. | Hospice, Inpatient | 4165 Old Milton Pkwy Ste 200, Alpharetta, GA 30005-4478 | 2018-08-29 |
| 1427548676 | Sacred Journey Hospice, Inc. | Hospice, Inpatient | 60 Oak Hill Blvd Ste 203, Newnan, GA 30265-2314 | 2018-05-14 |
| 1811448319 | Butterfly Gardens Hospice & Palliative Care | Hospice, Inpatient | 3112 Blackmon Court, Hephzibah, GA 30815 | 2016-10-19 |
| 1104221209 | Arcadia Hospice, LLC | Hospice, Inpatient | 119 Canal St Ste 103, Pooler, GA 31322 | 2014-10-31 |
| 1306276498 | Mt Berry Hospice Inc. | Hospice, Inpatient | 4300 Martha Berry Hwy Ne, Rome, GA 30165-8642 | 2013-11-26 |
| 1467746875 | Healing Hands | Hospice, Inpatient | 2667 C St, Macon, GA 31206-8307 | 2011-06-02 |
| 1982882114 | Serenity Hospice Care LLC | Hospice, Inpatient | 1057 N Houston Rd, Warner Robins, GA 31093-1563 | 2008-02-11 |
| 1518088038 | St. David Hospice | Hospice, Inpatient | 6101 Brixworth Pl Ne, Atlanta, GA 30319-5327 | 2007-04-02 |
| 1306919683 | Sacred Journey Hospice, Inc. | Hospice, Inpatient | 138 Peach Dr, Mcdonough, GA 30253 | 2006-11-16 |
| Find all providers with the same taxonomy | ||||
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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.