SOUTHERLAND CLARK ENTERPRISES LLC


Address: 315 N. Louisville St., Harlem, GA 30814
Phone: 7069555558

SOUTHERLAND CLARK ENTERPRISES LLC (NPI# 1538539093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538539093
Entity Type Organization
Organization Name SOUTHERLAND CLARK ENTERPRISES LLC
Other Organization Name ACADEMY LIFELONG LEARNING (ALL)
Practice Address 315 N. Louisville St.
Harlem
GA 30814
Mailing Address Po Box 854
Harlem
GA 30814-0854
Practice Telephone 7069555558
Mailing Telephone 7069555558
Enumeration Date 2015-09-28
Last Update Date 2015-10-27
Authorized Official Name MRS. GLORIOUS SHERMAN JONES (DIRECTOR)
Authorized Official Telephone 7069553853
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 385HR2060X Respite Care
Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child
Respite Care Facility

Other Provider/Organization Names

Other Name Type Code
Academy Lifelong Learning (ALL) Doing Business As Name - Organization

Office Location

Street Address 315 N. LOUISVILLE ST.
City HARLEM
State GA
Zip Code 30814

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770955072 Brandy Nicole Jones Mechanotherapist 315 N. Louisville St., Harlem, GA 30814 2015-10-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679127088 Harlem Family Dental Clinic/Center 150-160 North Louisville Street, Harlem, GA 30814 2019-07-25
1316088750 Kays Pharmacy Inc Pharmacy 203 N Louisville St, Harlem, GA 30814 2007-02-09
1477005718 Crystal Cook-mcknight Nurse Practitioner 1419 Clary Cut Rd, Harlem, GA 30814-3109 2016-11-03
1811481245 Csb of East Cental Ga Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 460 White Rd, Harlem, GA 30814-3408 2018-06-19
1437490976 Forever Home Home Health 1551 Joy Rd, Harlem, GA 30814-4117 2013-03-07
1659610806 West Forrest Assisted Living Facility 280 W Forrest St, Harlem, GA 30814-4637 2013-02-07
1700202306 The Haven of Harlem Clinic/Center 285 Fairview Dr, Harlem, GA 30814-5096 2014-03-07
1932684032 Medctr Inc Pharmacy 170 W.milledgeville Road, Harlem, GA 30814-5125 2018-09-25
1093993883 Daniel Francis Massa Chiropractor 315 N Louisville St Ste C, Harlem, GA 30814-5356 2008-02-05

Taxonomy Information

Taxonomy Code 385HR2060X
Grouping Respite Care Facility
Classification Respite Care
Specialization Respite Care, Mental Retardation and/or Developmental Disabilities, Child

Taxonomy Definition

A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1689203952 Shirley Ann Byrd Respite Care 45 Lake Shore Blvd, Savannah, GA 31407-3612 2020-04-07
1518447978 Mk In Home Care Services Respite Care 241 Hillcrest Dr, Stockbridge, GA 30281-1762 2018-08-15
1104326834 Brenda Snow Jacobs Respite Care 147 Summerfield Dr, Mcdonough, GA 30253-5308 2018-02-19
1922545805 Joyous Care LLC Respite Care 1926 Oglesby Bridge Rd Sw, Conyers, GA 30094-4239 2017-01-30
1760924278 Diversified Personal Home Care Respite Care 145 Mcintosh Place Dr, Fayetteville, GA 30214-7318 2016-11-15
1356682629 Stacey Ross Respite Care 7218 Crestside Dr, Austell, GA 30168-7022 2013-03-11
1326385956 Best Care Group Home Inc. Respite Care 1359 Edgewood Ave, Douglas, GA 31533-4543 2013-01-16
1558612374 Care Wind Place, Inc Respite Care 2895 Jordan Ave, Macon, GA 31217-4919 2012-09-20
1730439159 Comfort Zone Personal Care Home LLC Respite Care 485 Frog Rd, Locust Grove, GA 30248-3505 2012-09-13
1902121809 Grace Healthcare Services Inc Respite Care 1010 Slater Street, Valdosta, GA 31601 2010-04-02
Find all providers with the same taxonomy

Competitor

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City HARLEM
Zip Code 30814

Improve Information

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Dataset Information

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.

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