DEKALB COMMUNITY SERVICE BOARD (NPI# 1427193226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427193226 |
| Entity Type | Organization |
| Organization Name | DEKALB COMMUNITY SERVICE BOARD |
| Other Organization Name | ST. DUNSTAN GROUP HOME |
| Practice Address |
1536 Saint Dunstans Rd Lithonia GA 30058-5632 |
| Mailing Address |
445 Winn Way Fl 4 Decatur GA 30030-1707 |
| Practice Telephone | 7704560091 |
| Practice Fax Number | 7704560091 |
| Mailing Telephone | 4042943836 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-05-05 |
| Authorized Official Name | FABIO BRUNO VAN DER MERWE (COO) |
| Authorized Official Telephone | 4042943836 |
| Is Organization Subpart | Y |
| Parent Organization Name | DEKALB COMMUNITY SERVICE BOARD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| St. Dunstan Group Home | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750426755 | Dekalb Community Service Board | Community/Behavioral Health | 2129 Luray Ct, Dunwoody, GA 30338-5212 | 2007-02-20 |
| 1548304637 | Dekalb Community Service Board | Community/Behavioral Health | 4781 Lewis Rd, Stone Mountain, GA 30083-1020 | 2007-02-20 |
| 1932244993 | Dekalb Community Service Board | Community/Behavioral Health | 1116 Alford Rd, Lithonia, GA 30058-6094 | 2007-02-20 |
| 1154466142 | Dekalb Community Service Board | Community/Behavioral Health | 3571 Embry Cir, Chamblee, GA 30341-5613 | 2007-02-20 |
| 1629113436 | Dekalb Community Service Board | Community/Behavioral Health | 4559 Lavista Rd, Tucker, GA 30084-4225 | 2007-02-20 |
| 1497890214 | Dekalb Community Service Board | Community/Behavioral Health | 4200 Waterloo Cir, Tucker, GA 30084-2237 | 2007-02-20 |
| 1861536955 | Dekalb Community Service Board | Community/Behavioral Health | 2660 Osborne Rd Ne, Atlanta, GA 30319-2832 | 2007-02-20 |
| 1003951088 | Dekalb Community Service Board | Community/Behavioral Health | 4316 Smithsonia Dr, Tucker, GA 30084-2615 | 2007-02-20 |
| 1528103512 | Dekalb Community Service Board | Community/Behavioral Health | 3807 Clairmont Road Ne, Chamblee, GA 30341 | 2007-02-20 |
| 1740324805 | Dekalb Community Service Board | Community/Behavioral Health | 3100 Clifton Springs Rd, Decatur, GA 30034-4606 | 2007-02-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DEKALB COMMUNITY SERVICE BOARD | 445 Winn Way, Decatur, GA 30030-1707 |
| Street Address |
1536 SAINT DUNSTANS RD |
| City | LITHONIA |
| State | GA |
| Zip Code | 30058-5632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821603606 | Sherenda Lashawn Ellis | Contractor | 1859 Petite Lane, Lithonia, GA 30058 | 2020-09-09 |
| 1477186807 | Reset Recovery Health Center LLC | Substance Abuse Rehabilitation Facility | 6978 Main St, Lithonia, GA 30058 | 2020-02-13 |
| 1346726122 | Myorganics | Spec/Tech, Pathology | 5910 Shadow Rock Dr, Lithonia, GA 30058 | 2018-07-16 |
| 1699251884 | Enriching Medical Transport | Ambulance | 2260 Lithonia Industrial Blvd., Ste N-b, Lithonia, GA 30058 | 2018-07-11 |
| 1841789914 | Milner Vein and Vascular LLC | Surgery | 5700 Hillandale Dr Ste 150, Lithonia, GA 30058 | 2018-05-04 |
| 1215451265 | Brittany Rawlings | Home Health | 6127 Howell Ridge, Lithonia, GA 30058 | 2017-08-01 |
| 1982125571 | Bella Intellectum, LLC | Technician/Technologist | 6803 Edmonton Ct., Lithonia, GA 30058 | 2017-07-05 |
| 1528589397 | Arlene Dennis | Registered Nurse | 6022 Arnor Links Road, Lithonia, GA 30058 | 2017-07-03 |
| 1417401746 | Two Caring Hands Private Home Care | Home Health | 1959 Singers Way, Lithonia, GA 30058 | 2016-08-03 |
| 1518347467 | Ortho Injury and Wellness Center Inc. | Clinic/Center | 6148 A Covington Hwy, Lithonia, GA 30058 | 2015-06-05 |
| Find all providers in zip 30058 | ||||
| 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 |
|---|---|---|---|---|
| 1205470143 | Capoe LLC | Community/Behavioral Health | 5609 Fox Den Trl, Lithonia, GA 30038-1602 | 2019-11-04 |
| 1174093439 | United Health Care Resource Service LLC | Community/Behavioral Health | 475 S Deshon Rd, Lithonia, GA 30058-9051 | 2018-11-29 |
| 1285091769 | Beth A Harper Rodriguez | Community/Behavioral Health | 993 Palmer Rd, Lithonia, GA 30058-9088 | 2016-01-28 |
| 1427414622 | Holistic Atlanta LLC | Community/Behavioral Health | 3247 Rockview Dr, Lithonia, GA 30038-3032 | 2016-01-05 |
| 1558768531 | Safe Haven House Inc | Community/Behavioral Health | 6754 Grey Rock Way, Lithonia, GA 30058 | 2014-11-19 |
| 1568886034 | Positive Life Directions, LLC | Community/Behavioral Health | 7137 Brecken Pl, Lithonia, GA 30058-2968 | 2014-02-04 |
| 1912247073 | Epic Empowering People In Communities, Inc. | Community/Behavioral Health | 585 Shadow Lake Dr, Lithonia, GA 30058-3261 | 2013-02-26 |
| 1033454533 | Naji Counseling and Consulting, LLC | Community/Behavioral Health | 978 Alford Xing, Lithonia, GA 30058-3149 | 2012-12-10 |
| 1043572761 | T&m Special Carem LLC | Community/Behavioral Health | 1947 Lown Farm Trl, Lithonia, GA 30058-8958 | 2012-06-08 |
| 1992000194 | M&e Counseling and Consulting | Community/Behavioral Health | 5028 Thompson Mill Rd, Lithonia, GA 30038-2335 | 2011-01-19 |
| Find all providers in LITHONIA | ||||
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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.