LONG LIFE CARE MANAGEMENT LLC (NPI# 1407401649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407401649 |
| Entity Type | Organization |
| Organization Name | LONG LIFE CARE MANAGEMENT LLC |
| Other Organization Name | LONG LIFE CARE MANAGEMENT |
| Practice Address |
2111 E Lake Rd Ste 100 Mcdonough GA 30252-4930 |
| Practice Telephone | 7702177575 |
| Practice Fax Number | 7702161850 |
| Mailing Telephone | 7702177575 |
| Mailing Fax Number | 7702161850 |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-09-04 |
| Authorized Official Name | TRACY ENGLISH (FOUNDER/CARE MANAGER) |
| Authorized Official Telephone | 7702177575 |
| Authorized Official Credential | DNP, APRN, FNP-B |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251J00000X | Nursing Care | Agencies | ||
| Y | 251B00000X | Case Management | Agencies |
| Other Name | Type Code |
|---|---|
| Long Life Care Management | Former Legal Business Name - Organization |
| Street Address |
2111 E LAKE RD STE 100 |
| City | MCDONOUGH |
| State | GA |
| Zip Code | 30252-4930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720125834 | Tracy Cain English | Nurse Practitioner | 2111 E Lake Rd Ste 100, Mcdonough, GA 30252-4930 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114427 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 3479 Highway 81 East, Mcdonough, GA 30252 | 2020-11-03 |
| 1770143547 | Kevin Kirk Anderson | Physical Therapist | Dr. Kevin Anderson, 196 Lake Dow Rd, Mcdonough, GA 30252 | 2019-06-14 |
| 1912474537 | Atlanta Neuromonitoring, LLC | Psychiatry & Neurology | 922 Highway 81 East # 242, Mcdonough, GA 30252 | 2018-11-01 |
| 1194271320 | Christine Williams Breeden | Registered Nurse | 189 Irwin Drive, Mcdonough, GA 30252 | 2016-08-28 |
| 1518322395 | Jaquita Shorts | Counselor | 1705 Pennslyvania Ave, Mcdonough, GA 30252 | 2015-12-22 |
| 1356758973 | Keisha Candies | Counselor | 125 Zack Hinton Pkwy, Mcdonough, GA 30252 | 2014-07-15 |
| 1093145666 | Ceisha Shador Parks | Counselor | 6040 Winston Trace, Mcdonough, GA 30252 | 2013-11-19 |
| 1588939565 | Tasha E Jones | Counselor | 1509 Bent River Cir, Mcdonough, GA 30252 | 2012-03-09 |
| 1598049447 | Proactive Rehab, Inc | Physical Therapist | 50 Lawrenceville Street, Suite 100, Mcdonough, GA 30252 | 2011-10-10 |
| 1164706131 | Michelle Lee Cone | Pharmacist | 1210 Bent Creek Dr, Mcdonough, GA 30252 | 2011-10-07 |
| Find all providers in zip 30252 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336773050 | Invested Care Counseling Services | Case Management | 120 Tuscany Ct, Mcdonough, GA 30252-4089 | 2020-03-03 |
| 1023677655 | Inpire International Cdc, Inc. | Case Management | 5175 Tussahaw Xing, Mcdonough, GA 30252-8667 | 2019-06-07 |
| 1730616269 | Strategic Path Services, LLC | Case Management | 201 Autumn Leaf Dr, Mcdonough, GA 30253-8279 | 2017-05-15 |
| 1255715249 | Cross Atlanta Case Management LLC | Case Management | 168 Fashion Xing, Mcdonough, GA 30252-1605 | 2015-07-20 |
| 1154741973 | Mommie and Me Advocacy | Case Management | 5031 Monarch Dr, Mcdonough, GA 30253-8649 | 2014-04-19 |
| 1770920340 | Mandalay Consulting LLC | Case Management | 574 Cold Water Ln, Mcdonough, GA 30252-8068 | 2013-05-22 |
| 1811257546 | Successful Dreams Beliefs & Achievements, Inc | Case Management | 155 Westridge Pkwy Ste 209, Mcdonough, GA 30253-3051 | 2012-05-29 |
| 1033594635 | Wray Case Management | Case Management | 168 Fashion Xing, Mcdonough, GA 30252-1605 | 2015-07-23 |
| 1326478090 | Mandalay Consulting | Case Management | 574 Cold Water Ln, Mcdonough, GA 30252-8068 | 2013-11-18 |
| 1619307634 | Crossroad Management LLC | Case Management | 125 S Zack Hinton Pkwy, Mcdonough, GA 30253-3335 | 2013-11-13 |
| Find all providers in MCDONOUGH | ||||
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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.