MARSHALL RETIREMENT CENTER (NPI# 1437513116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437513116 |
| Entity Type | Organization |
| Organization Name | MARSHALL RETIREMENT CENTER |
| Other Organization Name | PERSONAL CARE HOME |
| Practice Address |
619 Allen Avenue Blackshear GA 31516 |
| Mailing Address |
P.o.b. 650 Blackshear GA 31516 |
| Practice Telephone | 9124491380 |
| Practice Fax Number | 9124491380 |
| Mailing Telephone | 9124491380 |
| Mailing Fax Number | 9124491380 |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |
| Authorized Official Name | MRS. DOLLIE BOGGS MARSHALL (OWNER/MANAGER) |
| Authorized Official Telephone | 9124491380 |
| Authorized Official Credential | OWNER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | GA | Agencies | |
| Y | 310400000X | Assisted Living Facility | GA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Personal Care Home | Other Name - Individual/Organization |
| Street Address |
619 ALLEN AVENUE |
| City | BLACKSHEAR |
| State | GA |
| Zip Code | 31516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773858 | Neighborhood Pediatrics | Pediatrics | 125 Hobbs Street, Blackshear, GA 31516 | 2019-04-26 |
| 1144639022 | Marlee Bedford | Speech-Language Pathologist | 949 Lakeview Drive, Blackshear, GA 31516 | 2014-08-05 |
| 1912257528 | Theresa Sasser Clements | Case Manager/Care Coordinator | 5064 County Farm Road, Blackshear, GA 31516 | 2012-09-12 |
| 1376700401 | Grant D. Bennett | Durable Medical Equipment & Medical Supplies | 6223 Clark Rd., Blackshear, GA 31516 | 2008-05-16 |
| 1639381171 | Georgia Physician South,pc | Clinical Medical Laboratory | 120 Carter Ave, Blackshear, GA 31516 | 2007-05-04 |
| 1114064409 | Unison Behavioral Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 740 Porter Street, Blackshear, GA 31516 | 2007-01-30 |
| 1316012636 | Dr Kim Bradley Hood Dmd PC | Dentist | 643 East Main Street, Blackshear, GA 31516 | 2006-11-21 |
| 1366478042 | Mayo Clinic Health System In Waycross, Inc. | Skilled Nursing Facility | 221 Carter Ave., Blackshear, GA 31516 | 2006-06-24 |
| 1518936442 | Gardi Drug Company, LLC | Durable Medical Equipment & Medical Supplies | 731 Cameron Dr., Blackshear, GA 31516 | 2006-03-14 |
| 1205820651 | Pierce County | Ambulance | 309 Industrial Blvd, Blackshear, GA 31516 | 2005-08-31 |
| Find all providers in zip 31516 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467989616 | Garden View Retirement Assisted Living | Assisted Living Facility | 6134 College Ave, Blackshear, GA 31516-5427 | 2017-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475086 | The We Care Homecare Foundation, Inc | Assisted Living Facility | 5701 Mableton Pkwy Sw Ste 306, Mableton, GA 30126-3360 | 2020-10-18 |
| 1871100412 | Forever Harmony PCh Inc | Assisted Living Facility | 205 Providence Walk Ct, Canton, GA 30114-8622 | 2020-09-28 |
| 1063026953 | New Hope Living Centre Dba The Fite Living Centre | Assisted Living Facility | 5 Fite St, Cartersville, GA 30120-3408 | 2020-09-08 |
| 1033723697 | Jordan Scott Seamans | Assisted Living Facility | 7778 Schomburg Rd Apt 610, Columbus, GA 31909-1928 | 2020-09-01 |
| 1225641368 | Renaissance Gainesville 1, LLC | Assisted Living Facility | 2215 Old Hamilton Pl, Gainesville, GA 30507-7893 | 2020-08-28 |
| 1770193120 | Simply Living Personal Care Home, LLC | Assisted Living Facility | 3 Berwick Ct, Savannah, GA 31406-6721 | 2020-07-31 |
| 1487276184 | 1115 Smith Opco LLC | Assisted Living Facility | 135 Market St, Thomasville, GA 31792-5782 | 2020-05-15 |
| 1497376545 | Shawitekia Johnson | Assisted Living Facility | 312 Magnolia Dr, Thomson, GA 30824-1842 | 2020-04-29 |
| 1366075848 | Liagiba, Inc | Assisted Living Facility | 518 Lake Michele Ct, Stone Mountain, GA 30088-1401 | 2020-02-13 |
| 1639701352 | Angels Live Here Inc. | Assisted Living Facility | 89 Level Creek Rd, Suwanee, GA 30024-1779 | 2020-02-11 |
| Find all providers with the same taxonomy | ||||
| City | BLACKSHEAR |
| Zip Code | 31516 |
Please comment or provide details below to improve the information on MARSHALL RETIREMENT CENTER.
| 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.