LUCY'S PERSONAL CARE LLC


Address: 2002 Cleveland Rd, Bogart, GA 30622-1644
Phone: 7707257762

LUCY'S PERSONAL CARE LLC (NPI# 1538544697) 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) 1538544697
Entity Type Organization
Organization Name LUCY'S PERSONAL CARE LLC
Practice Address 2002 Cleveland Rd
Bogart
GA 30622-1644
Mailing Address 217 Fowler Mill Rd
Bogart
GA 30622-1613
Practice Telephone 7707257762
Practice Fax Number 7707252192
Mailing Telephone 7707257943
Mailing Fax Number 7707252192
Enumeration Date 2015-07-29
Last Update Date 2015-07-29
Authorized Official Name MRS. VERA GILES (OWNER)
Authorized Official Telephone 7707257943
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility PCH008602 GA Nursing & Custodial Care Facilities

Office Location

Street Address 2002 CLEVELAND RD
City BOGART
State GA
Zip Code 30622-1644

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1740298728 Thomas W Mccormack Jr. Psychiatry & Neurology 1361 Jennings Mill Road, Building 200 Suite 201, Bogart, GA 30622 2006-08-04
1659308872 Blue Laser Group Ophthalmology 1747 Langford Drive, Building 400, Suite 101, Bogart, GA 30622 2006-06-26
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1205837374 Terrance L Hughes Specialist 1500 Langford Medical Dr., Bldg 200, Bogart, GA 30622 2005-08-10
1922590892 Inside Out Therapy Services Occupational Therapist 1450 Eden Ave, Bogart, GA 30622 2018-06-05
1144517038 Gentry Broach Tolbert Nurse Practitioner 1500 Langford Medical Drive, Bldg 200, Bogart, GA 30622 2011-06-30
1083736961 Edward J Fisher Jr Md Inc Psychiatry & Neurology 1361 Jennings Mill Rd, Bldg 200 Ste 201, Bogart, GA 30622 2007-04-04
1760504641 Andrew Philip Heidesch Marriage & Family Therapist 1361 Jennings Mill Road, Suite 201, Bogart, GA 30622 2007-04-04
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

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]

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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
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Competitor

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City BOGART
Zip Code 30622

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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