SUNCREST HOME HEALTH OF SOUTH GA, INC. (NPI# 1457583718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457583718 |
| Entity Type | Organization |
| Organization Name | SUNCREST HOME HEALTH OF SOUTH GA, INC. |
| Other Organization Name | SUNCREST HOME HEALTH |
| Practice Address |
1221 W 4th St Ste 7 Adel GA 31620-2906 |
| Mailing Address |
Po Box 51266 Lafayette LA 70505-1266 |
| Practice Telephone | 2298968177 |
| Practice Fax Number | 2292967880 |
| Mailing Telephone | 3372331307 |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2020-08-14 |
| Authorized Official Name | MR. NICHOLAS GACHASSIN III (SECRETARY / TREASURER) |
| Authorized Official Telephone | 3372331307 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 037-101 | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00887983A | 05 |
| Other Name | Type Code |
|---|---|
| SunCrest Home Health | Doing Business As Name - Organization |
| Street Address |
1221 W 4TH ST STE 7 |
| City | ADEL |
| State | GA |
| Zip Code | 31620-2906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588024970 | Wal-mart Store East, Lp | Technician/Technologist | 351 Alabama Road, Adel, GA 31620 | 2016-02-29 |
| 1144699141 | Alexander Warren | Nurse Practitioner | 110 S Hutchinson Ave, Adel, GA 31620 | 2015-09-20 |
| 1538474002 | Tift Regional Health System, Inc. | Specialist | 103 East James Street, Adel, GA 31620 | 2010-08-09 |
| 1427388578 | Newhaven | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 615 South Hutchinson Avenue, Adel, GA 31620 | 2010-01-12 |
| 1942374350 | South Georgia Csb | Clinic/Center | 203 Industrial Park Drive, Adel, GA 31620 | 2006-11-17 |
| 1457424616 | Cook County Board of Education | Local Education Agency (LEA) | 1109 N Parrish Ave, Adel, GA 31620 | 2006-11-16 |
| 1366513210 | Thomas D Fausett Jr. | Family Medicine | 707 N Parrish Ave, Adel, GA 31620 | 2006-11-13 |
| 1689765851 | Chris T. Hilliard | Dentist | 130 S. Parrish Ave., Adel, GA 31620 | 2006-09-27 |
| 1245247303 | Mark A Clegg | Dentist | 606 N Hutchinson Ave, Adel, GA 31620 | 2006-08-02 |
| 1336102938 | Dca of Adel LLC | Clinic/Center | 701 North Hutchinson Avenue, Adel, GA 31620 | 2006-04-07 |
| Find all providers in zip 31620 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114404514 | Kristen Westberg | Home Health | 427 N 11th Street Pl, Adel, IA 50003 | 2018-07-27 |
| 1952449092 | Homecare Services, Inc. of Dallas County | Home Health | 23561 Nantucket Rd, Adel, IA 50003-4400 | 2007-02-01 |
| 1780621664 | Healthmont of Georgia, Inc | Home Health | 413 W 4th St, Adel, GA 31620-2607 | 2006-06-01 |
| 1699771162 | Dallas County Iowa | Home Health | 25747 N Ave, Suite C, Adel, IA 50003-4420 | 2005-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407901 | Cpg Private Home Care Providers, LLC | Home Health | 238 Stockbridge Rd Ste 215, Jonesboro, GA 30236-3629 | 2020-11-05 |
| 1073114286 | Sadiecare Health Services Incorporated | Home Health | 483 Holderness St Sw Unit B, Atlanta, GA 30310-1748 | 2020-11-04 |
| 1356941082 | Just Peachy Home Care LLC | Home Health | 550 Fairburn Rd Sw Ste B1, Atlanta, GA 30331-2016 | 2020-10-30 |
| 1902406804 | Southern Home Care Services, Inc. | Home Health | 102 S Green St, Swainsboro, GA 30401-3131 | 2020-10-29 |
| 1942800743 | Vidma Care Mission, LLC | Home Health | 3045 Whittier Way, Cumming, GA 30040-0722 | 2020-10-29 |
| 1891395380 | Am Pm Assets, Inc. | Home Health | 971 Lanier Ave, Gainesville, GA 30501-1727 | 2020-10-26 |
| 1588263917 | 963 Hz LLC | Home Health | 621 Arbor Cir, Tucker, GA 30084-3061 | 2020-10-17 |
| 1811595283 | Rotex Healthcare Services LLC | Home Health | 1847 Canoe Rdg Nw, Kennesaw, GA 30152-6222 | 2020-10-16 |
| 1306444120 | Circle of Life Caregiver Services | Home Health | 1803 Wynnton Rd, Columbus, GA 31906-2929 | 2020-10-14 |
| 1740888437 | Arose Home Care Services,llc | Home Health | 3374 Stone Path Way, Powder Springs, GA 30127-5329 | 2020-10-14 |
| 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.