DIVERSIFIED RESOURCES, INC. (NPI# 1538223672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538223672 |
| Entity Type | Organization |
| Organization Name | DIVERSIFIED RESOURCES, INC. |
| Practice Address |
147 Knight Ave Cir Waycross GA 31503 |
| Mailing Address |
Po Box 1099 Waycross GA 31502-1099 |
| Practice Telephone | 9122853089 |
| Practice Fax Number | 9122050367 |
| Mailing Telephone | 9122853089 |
| Mailing Fax Number | 9122850367 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. KATHY S YARBROUGH (PRESIDENT, ADMINISTRATIVE DIRECTOR) |
| Authorized Official Telephone | 9122853089 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
147 KNIGHT AVE CIR |
| City | WAYCROSS |
| State | GA |
| Zip Code | 31503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770855868 | Bertha Richardsaon | Community/Behavioral Health | 1614 Carswell Ave, Waycross, GA 31503 | 2012-02-03 |
| 1134365893 | Carla Pye Winn | Nurse Practitioner | 1003 Mary St, Waycross, GA 31503 | 2008-12-31 |
| 1801051297 | Unison Behavioral Health | Substance Abuse Rehabilitation Facility | 3455 Harris Road, Waycross, GA 31503 | 2008-07-24 |
| 1073650115 | Unison Behavioral Health | Community/Behavioral Health | 1003 Mary Street, Waycross, GA 31503 | 2007-01-30 |
| 1588701635 | Unison Behavioral Health | Community/Behavioral Health | 2033 Bell Street, Waycross, GA 31503 | 2007-01-30 |
| 1801933957 | Unison Behavioral Health | Day Training, Developmentally Disabled Services | 3201 Harris Road, Waycross, GA 31503 | 2007-01-30 |
| 1902943046 | Unison Behavioral Health | Community/Behavioral Health | 310 Williams Street, Waycross, GA 31503 | 2007-01-30 |
| 1285770578 | Unison Behavioral Health | Community/Behavioral Health | 305 N Nicholls Street, Waycross, GA 31503 | 2007-01-30 |
| 1669578167 | James Gregory Morris | Dentist | 2458 Memorial Drive, Waycross, GA 31503 | 2006-09-15 |
| 1134608367 | Latoya Lasha Woodard | Counselor | 1007 Mary Street, Waycross, GA 31503 | 2018-08-08 |
| Find all providers in zip 31503 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134468226 | Anna Hamilton | Case Manager/Care Coordinator | 3990 Brooks Ave, Waycross, GA 31503-0525 | 2013-02-08 |
| 1831454651 | Sabrina Calhoun | Case Manager/Care Coordinator | 1057 Grove Avenue, Babies Can't Wait, Waycross, GA 31501 | 2012-07-09 |
| 1407343296 | Lydia C Boggs | Case Manager/Care Coordinator | 1020 Mary St, Waycross, GA 31503-3849 | 2018-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780768 | Covenant Consulting and Practice Management Corp | Case Manager/Care Coordinator | 2900 Weatherstone Cir Se, Conyers, GA 30094-2021 | 2020-11-05 |
| 1194325779 | Stephanie A Jones | Case Manager/Care Coordinator | 517 Fall Creek Ct, Mcdonough, GA 30253-9245 | 2020-10-31 |
| 1952918484 | Andrea Y Daniel | Case Manager/Care Coordinator | 6040 Walters Loop, Columbus, GA 31907-5368 | 2020-09-29 |
| 1730796772 | Abbigail J Boyd | Case Manager/Care Coordinator | 538 Hunterdale Rd, Evans, GA 30809-3630 | 2020-09-24 |
| 1326653890 | Chosen Care, Inc. | Case Manager/Care Coordinator | 5202 Forest Springs Dr, Atlanta, GA 30338-3506 | 2020-09-11 |
| 1689287112 | Nikki Crew | Case Manager/Care Coordinator | 200 Suddeth St, Winterville, GA 30683-1901 | 2020-08-25 |
| 1205448032 | Leona Ramsey Dorsey | Case Manager/Care Coordinator | 19 Shearwater Dr, Fortson, GA 31808-5316 | 2020-08-22 |
| 1467064428 | Kayla M Sims | Case Manager/Care Coordinator | 6475 Calamar Dr, Cumming, GA 30040-7645 | 2020-08-20 |
| 1821600990 | Johnelle Chambers | Case Manager/Care Coordinator | 4045 S Shelby Ln, Douglasville, GA 30135-4141 | 2020-08-20 |
| 1801408919 | April Scott | Case Manager/Care Coordinator | 267 Roberts Rd, Barnesville, GA 30204-3367 | 2020-08-19 |
| 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.