CROWN PERSONAL CARE HOME


Address: 891 Stormy Ln, Jonesboro, GA 30238-5984
Phone: 6782161618

CROWN PERSONAL CARE HOME (NPI# 1407159585) 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) 1407159585
Entity Type Organization
Organization Name CROWN PERSONAL CARE HOME
Practice Address 891 Stormy Ln
Jonesboro
GA 30238-5984
Practice Telephone 6782161618
Mailing Telephone 6782161618
Enumeration Date 2010-12-13
Last Update Date 2010-12-13
Authorized Official Name MR. EMMANUEL OSO (OWNER)
Authorized Official Telephone 6782161618
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 031-01-246-1 GA Residential Treatment Facilities

Office Location

Street Address 891 STORMY LN
City JONESBORO
State GA
Zip Code 30238-5984

Providers in the same zip code

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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
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1427478890 Fincare United, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 9442 S Main St, Suite 109, Jonesboro, GA 30236-8710 2014-04-23
1801186945 Laties, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 9618 Brown Rd, Jonesboro, GA 30238-5966 2011-04-11
1235439068 Residential Living, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 7861 Collinswood Ct, Jonesboro, GA 30236-3399 2010-10-27
1962719427 Guiding Hand Perssonal Care Home Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8259 Valley Stream Dr, Jonesboro, GA 30236-3825 2010-09-04
1861905374 Abc Healthcare of America, LLC. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 6568a Tara Blvd, Jonesboro, GA 30236-1228 2017-11-07
1437449154 Peaceful Harmony Homes Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 10649 Tara Village Way, Jonesboro, GA 30238-7963 2011-04-14
1134420516 Community Care Home Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 659 Wilmont Dr, Jonesboro, GA 30238-4834 2010-11-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790385862 Hickory Log Vocational School Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3680 Highway 411 Ne, White, GA 30184-2427 2020-10-28
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1659987931 Pinkies Place Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 216 Self St, Warner Robins, GA 31088-5506 2020-09-22
1629680293 Caregiver Ga, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3736 Executive Center Dr Ste B, Augusta, GA 30907-2360 2020-08-17
1730799073 Victory Won Counseling and Res Care Prof. Corp Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5014 Snapfinger Woods Dr, Decatur, GA 30035-4003 2020-08-02
1811528649 Unison Behavioral Health Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 211 North Street, Douglas, GA 31533 2020-01-30
1619519709 Gateway Behavioral Health Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 516 Freedom Trl, Brunswick, GA 31525-4712 2019-10-10
1215581756 Elegant Lm Management, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1020 Meadowsong Circle, Lawrenceville, GA 30043 2019-08-01
1467013821 Csb of East Central Ga Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5101 Parnell Way, Martinez, GA 30907-8896 2019-06-26
1013474915 Community Service Board of East Central Georgia Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1715 Lawerence Rd, Hephzibah, GA 30815-4445 2019-02-27
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Competitor

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City JONESBORO
Zip Code 30238

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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.

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