PRUDENT SENIOR SERVICES OF GEORGIA (NPI# 1427681816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427681816 |
| Entity Type | Organization |
| Organization Name | PRUDENT SENIOR SERVICES OF GEORGIA |
| Practice Address |
4845 Jimmy Carter Blvd Norcross GA 30093-3641 |
| Mailing Address |
5522 New Peachtree Rd Ste 122 Atlanta GA 30341-2526 |
| Practice Telephone | 7706121388 |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |
| Authorized Official Name | WOOIYI YIN (SECRETARY) |
| Authorized Official Telephone | 7706121388 |
| Is Organization Subpart | Y |
| Parent Organization Name | PRUDENT SENIOR SERVICES OF GEORGIA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Senior Wisdom Partners | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477191773 | Prudent Senior Services of Georgia | Clinic/Center | 5522 New Peachtree Rd Ste 128, Atlanta, GA 30341-2544 | 2019-12-17 |
| Street Address |
4845 JIMMY CARTER BLVD |
| City | NORCROSS |
| State | GA |
| Zip Code | 30093-3641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255868949 | Golden Age Home Care LLC | Home Health | 4845 Jimmy Carter Blvd, Norcross, GA 30093-3641 | 2017-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517465 | Tequila Olivia Banks | Counselor | 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 | 2020-10-27 |
| 1922643485 | Anthony Ervin | Case Manager/Care Coordinator | 6251 Smithpoint Dr. Bldg B, Peachtree Corners, GA 30093 | 2019-11-08 |
| 1164908885 | Marianne Altares | Speech-Language Pathologist | 1709 Oakbrook Lake Dr, Norcross, GA 30093 | 2018-07-16 |
| 1518480763 | Braces Now 14, LLC | Dentist | 4141 Steve Reynolds Blvd, Suite 2, Norcross, GA 30093 | 2017-07-19 |
| 1457802902 | Audrey Fernandes | Dentist | 4846 Jimmy Carter Blvd, Suite 203, Norcross, GA 30093 | 2016-10-19 |
| 1922456318 | Diana Lleras | Counselor | 6020 Dawson Bld Suite I, Norcross, GA 30093 | 2016-05-26 |
| 1376941500 | Katerine Velez | Counselor | 6020 Dawson Blvd., Siute I, Norcross, GA 30093 | 2014-12-22 |
| 1679979017 | Allison Ballay Donnelly | Speech-Language Pathologist | 1626 Jeurgens Ct., Norcross, GA 30093 | 2014-11-12 |
| 1588913701 | Sunrise Pharmacy | Pharmacy | 1235 Indian Trail Rd, Suite 200a, Norcross, GA 30093 | 2012-09-04 |
| 1821347154 | Shakirah Forde | Counselor | 1770 Indian Trail Lilburn Rd Ste 120, Norcross, GA 30093 | 2012-08-31 |
| Find all providers in zip 30093 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720616386 | Rainbow Senior Care Home Inc | Clinic/Center | 4405 International Blvd Ste B101, Norcross, GA 30093-3013 | 2020-03-30 |
| 1629626445 | Wholecare Wellness LLC | Clinic/Center | 5390 Peachtree Industrial Blvd Ste 130, Norcross, GA 30071-1566 | 2019-08-27 |
| 1023528932 | First One Group, LLC | Clinic/Center | 6000 Live Oak Pkwy Ste 103, Norcross, GA 30093-1732 | 2017-10-05 |
| 1669874673 | Ebenezer Healthcare Services, Inc. | Clinic/Center | 4405 International Blvd, Suite B101, Norcross, GA 30093-3019 | 2014-09-22 |
| 1205114717 | Has Real Estae Inc. | Clinic/Center | 5675 Jimmy Carter Blvd, Suite 665-a, Norcross, GA 30071-2965 | 2011-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481506 | Loving Hands Foundation Incorporated | Clinic/Center | 206 Union St, Lagrange, GA 30241-3343 | 2020-09-09 |
| 1356962443 | Southern Hospitality Adult Day Health Agency LLC | Clinic/Center | 3349 Northside Dr W, Statesboro, GA 30458-2178 | 2020-04-30 |
| 1497383038 | Sheryl Dornblaser | Clinic/Center | 1180 Mckendree Church Rd Ste 107, Lawrenceville, GA 30043-5207 | 2020-03-30 |
| 1932733201 | Perfect Care, Inc | Clinic/Center | 114 Sullivan Dr, Americus, GA 31709-5534 | 2020-02-26 |
| 1710524483 | Norman Graham | Clinic/Center | 125 Marquis Dr, Fayetteville, GA 30214-1566 | 2019-12-02 |
| 1548802937 | Serenity Adult Day Health, Inc | Clinic/Center | 95 Truman Rd, Hawkinsville, GA 31036-4643 | 2019-10-17 |
| 1134778749 | Marietta Seniors Club LLC | Clinic/Center | 748 Lawrence St Ne, Marietta, GA 30060-2144 | 2019-09-06 |
| 1750936498 | Sec of Georgia Corp | Clinic/Center | 5522 New Peachtree Rd Ste 128, Atlanta, GA 30341-2544 | 2019-08-08 |
| 1801354774 | Tracie Chislom | Clinic/Center | 1002 W Solomon St, Griffin, GA 30223-2632 | 2019-03-08 |
| 1487126066 | Skylark Adh-atlanta LLC | Clinic/Center | 1705 Commerce Dr Nw Ste 200, Atlanta, GA 30318-3107 | 2018-12-20 |
| 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.