HEROS FOR SUCCESS (NPI# 1548868987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548868987 |
| Entity Type | Organization |
| Organization Name | HEROS FOR SUCCESS |
| Practice Address |
431 Jefferies Ave Albany GA 31701-3431 |
| Practice Telephone | 2293430445 |
| Mailing Telephone | 2293430445 |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2020-10-16 |
| Authorized Official Name | TIFFANY TERRELL (CFO) |
| Authorized Official Telephone | 2292211531 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335G00000X | Medical Foods Supplier | Suppliers |
| Other Name | Type Code |
|---|---|
| A BETTER WAY GROCERS | Doing Business As Name - Organization |
| Street Address |
431 JEFFERIES AVE |
| City | ALBANY |
| State | GA |
| Zip Code | 31701-3431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124678347 | Carehere LLC | Family Medicine | Carehere Clinic- City of Albany, Ga, 2000 North Monroe Street, Albany, GA 31701 | 2019-09-19 |
| 1801450788 | Amy Brock | Nurse Practitioner | 417 4th Avenue, Albany, GA 31701 | 2019-04-26 |
| 1346740131 | Kawana Kesia Mullins | Contractor | 1103 S Davis St, Albany, GA 31701 | 2018-02-19 |
| 1689198558 | Marion Elizabeth Toscano | Counselor | 226 South Jefferson Street, Frederick, MD 31701 | 2017-08-01 |
| 1871014803 | Mann Dental Care LLC | Clinic/Center | 1403 South Slappey Blvd, Albany, GA 31701 | 2017-06-29 |
| 1457716805 | Amanda Banks Thomas | Advanced Practice Midwife | 803 13th Avenue, Albany, GA 31701 | 2015-12-29 |
| 1265805212 | David Lee Berry Jr. | Counselor | 230 South Jackson Street, Suite 228 & 229, Albany, GA 31701 | 2015-11-12 |
| 1750725099 | Charles Jacob Stoudenmire | Pathology | 507 W 3rd Ave Ste 7, Albany, GA 31701 | 2013-04-17 |
| 1700188232 | Wendy Summer Willis | Podiatrist | 531 Seventh Avenue, Albany, GA 31701 | 2010-12-05 |
| 1760615413 | Nicholas L Misulia | Anesthesiology | 417 Third Avenue, Albany, GA 31701 | 2009-08-28 |
| Find all providers in zip 31701 | ||||
| Taxonomy Code | 335G00000X |
| Grouping | Suppliers |
| Classification | Medical Foods Supplier |
| A supplier of special replacement foods for clients with errors of metabolism that prohibit them from eating a regular diet. Medical foods are lacking in the compounds which cause complications of the metabolic disorder, and are not generally available in grocery stores, health food stores, or pharmacies. |
| Notes: Source: The Children with Special Healthcare Needs (CSHCN) Services Program, a program of the Texas Department of State Health Services |
Please comment or provide details below to improve the information on HEROS FOR SUCCESS.
| 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.