GRADY MEMORIAL HOSPITAL CORPORATION (NPI# 1437255395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437255395 |
| Entity Type | Organization |
| Organization Name | GRADY MEMORIAL HOSPITAL CORPORATION |
| Other Organization Name | CRESTVIEW HEALTH AND REHABILITATION CENTER |
| Practice Address |
2800 Springdale Rd Sw Atlanta GA 30315-7802 |
| Practice Telephone | 4046168100 |
| Mailing Telephone | 4046168100 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2009-07-20 |
| Authorized Official Name | MISS CORA LEDARE BULLOCK (ADMINISTRATOR) |
| Authorized Official Telephone | 4046168110 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1-060-1275 | GA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00273567A | 05 |
| Other Name | Type Code |
|---|---|
| Crestview Health and Rehabilitation Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124598362 | Grady Memorial Hospital Corporation | Pharmacy | 80 Jesse Hill Jr Dr Se Rm 10b-043, Atlanta, GA 30303-3031 | 2018-11-30 |
| 1396025367 | Grady Memorial Hospital Corporation | Pharmacy | 80 Jesse Hill Jr Dr Se Rm Gf, Atlanta, GA 30303-3031 | 2011-08-23 |
| 1427373224 | Grady Memorial Hospital Corporation | Pharmacy | 1575 Northside Dr Nw Bldg 400, Atlanta Tech Center Suite 450, Atlanta, GA 30318-4235 | 2010-04-05 |
| 1891966578 | Grady Memorial Hospital Corporation | Ambulance | 80 Jesse Hill Jr Drive Se, Box 26042, Atlanta, GA 30303-3050 | 2008-03-20 |
| 1083629638 | Grady Memorial Hospital Corporation | Pharmacy | 341 Ponce De Leon Ave Ne Rm 110, Atlanta, GA 30308-2012 | 2006-07-30 |
| 1205872223 | Grady Memorial Hospital Corporation | Pharmacy | 48-50 Coca Cola Place, Atlanta, GA 30303-3050 | 2006-06-20 |
| 1992799050 | Grady Memorial Hospital Corporation | Ambulance | 80 Jesse Hill Jr Dr, Se, Atlanta, GA 30303-3050 | 2005-09-06 |
| 1649765686 | Grady Memorial Hospital Corporation | Clinic/Center | 3896 Princeton Lakes Way, Atlanta, GA 30331 | 2018-06-22 |
| 1316294713 | Grady Memorial Hospital Corporation | Pharmacy | 10 Park Place, Atlanta, GA 30303 | 2012-08-06 |
| 1063726339 | Grady Memorial Hospital Corporation | Ambulance | 80 Jesse Hill Jr Dr Se, Box 26042, Atlanta, GA 30303-3031 | 2010-07-29 |
| Street Address |
2800 SPRINGDALE RD SW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30315-7802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922453117 | Benedicta N Okoye | Nurse Practitioner | 2800 Springdale Rd Sw, Atlanta, GA 30315 | 2016-04-26 |
| 1831411016 | Sylvie Vabe Tchaya | Nurse Practitioner | 2800 Springdale Rd Sw, Atlanta, GA 30315-7802 | 2010-02-16 |
| 1639302953 | Manouchka Lominy | Nurse Practitioner | 2800 Springdale Rd Sw, Atlanta, GA 30315-7802 | 2009-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083181341 | Erin Cole | Specialist/Technologist | Lakewood Ave Se, Atlanta, GA 30315 | 2018-10-25 |
| 1942701081 | Julie Crocker | Dental Hygienist | 1046 Ridge Ave. Sw, Atlanta, GA 30315 | 2018-02-23 |
| 1457695850 | Dominica Aquino Morales-gibson | Physical Therapist | 2850 Springdale Road Sw, Atlanta, GA 30315 | 2012-11-26 |
| 1912264813 | Maxwell Uhakheme | Internal Medicine | 6875 Douglas Blvd, Suite A, Kaiser Permanente Douglasville Medical Center, Douglasville, GA 30315 | 2012-04-16 |
| 1427329093 | Sulonda Smith | Counselor | 34 Atlanta Ave. Se, Hank Aaron Blvd, Atlanta, GA 30315 | 2012-01-13 |
| 1407152507 | Gerald Leroy Griffin | Pharmacist | 520 Boulevard, Atlanta, GA 30315 | 2011-02-07 |
| 1245404854 | Tunisia Finch Cornelius | Dermatology | 1039 Grant St Se Ste A-11, Atlanta, GA 30315 | 2008-04-15 |
| 1356512180 | Chandra Blakely | Counselor | 215 Lakewood Way, Suite 205, Atlanta, GA 30315 | 2008-03-19 |
| 1104043967 | Alvin H. Clair, M.d.p.c. | Dermatology | 777 Cleveland Ave.,sw Ste.500, Atlanta, GA 30315 | 2007-04-20 |
| 1396877742 | Scott M Russell | Speech-Language Pathologist | 1364 Clifton Road, Atlanta, GA 30315 | 2007-03-12 |
| Find all providers in zip 30315 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639619307 | Medicinal Plus | Skilled Nursing Facility | 2443 Center Pointe Cir Sw, Atlanta, GA 30315-7309 | 2017-02-28 |
| 1164972188 | Marie Rosemonde Nozil-bernadel | Skilled Nursing Facility | 3715 Northside Pkwy Nw Bldg 200, Atlanta, GA 30327-2882 | 2016-10-13 |
| 1730639022 | Dunwoody Operating Company LLC | Skilled Nursing Facility | 5470 Meridian Marks Rd Bldg E, Atlanta, GA 30342-1624 | 2016-10-11 |
| 1447668538 | Winnie-stowell Hospital District | Skilled Nursing Facility | 1104 S. William Street, Atlanta, TX 75551 | 2014-08-01 |
| 1073927018 | Winnie-stowell Hospital District | Skilled Nursing Facility | 200 Live Oak Dr, Atlanta, TX 75551-2802 | 2014-06-18 |
| 1669723987 | Tender Touch Private Home Care, LLC | Skilled Nursing Facility | 215 Hilltop Dr Sw, Atlanta, GA 30315-6019 | 2012-09-26 |
| 1811269533 | Rose Haven Healthcare LLC | Skilled Nursing Facility | 200 Live Oak St, Atlanta, TX 75551-2802 | 2012-01-27 |
| 1144509613 | Lenbrook Square Foundation, Inc. | Skilled Nursing Facility | 3747 Peachtree Rd Ne, Atlanta, GA 30319-1360 | 2011-08-15 |
| 1508160045 | Integrity Personal Care Home | Skilled Nursing Facility | 4192 Kenwood Trl, Atlanta, GA 30349-1979 | 2010-12-25 |
| 1942502364 | Partnership for Health Health Care | Skilled Nursing Facility | 905 James Jackson Pkwy Nw Ste 6, Atlanta, GA 30318-9501 | 2010-11-18 |
| Find all providers in ATLANTA | ||||
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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.