JEFF'S PLACE (NPI# 1558408898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558408898 |
| Entity Type | Organization |
| Organization Name | JEFF'S PLACE |
| Practice Address |
1109 Griffith Rd Monroe NC 28112-6244 |
| Mailing Address |
410 Robin Dr Monroe NC 28112-6478 |
| Practice Telephone | 7042268503 |
| Practice Fax Number | 7042921915 |
| Mailing Telephone | 7042834295 |
| Mailing Fax Number | 7042921915 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JEFF MASSEY (PRESIDENT) |
| Authorized Official Telephone | 7042250584 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | MHL090106 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6603916 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | JEFF'S PLACE CHILDREN'S BEREAVEMENT CENTER, INC. | 34 Deloss St., Framingham, MA 01702 |
| Alabama Business Registrations | Jeff's Place LLC | 1004 Chestnut Street, Roanoke, AL 36274 |
| Massachusetts Corporations | JEFF'S PLACE, INC. | 189 Wells Ave., Newton, MA 02159 |
| Street Address |
1109 GRIFFITH RD |
| City | MONROE |
| State | NC |
| Zip Code | 28112-6244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000620 | Paladina Health, LLC | Family Medicine | Paladina Health Monroe Campus Park, 1640 A Campus Park Drive, Monroe, NC 28112 | 2019-02-22 |
| 1073078408 | Sharelle Monique Hatley | Social Worker | 501 North Charlotte Ave, Suite C-214, Monroe, NC 28112 | 2019-02-11 |
| 1740762509 | Fox Counseling and Consulting, Pllc | Social Worker | 311 W Jefferson Street, Monroe, NC 28112 | 2018-08-29 |
| 1760976062 | Kinena J Dent-smith | Community/Behavioral Health | 207 Raymond St, Monroe, NC 28112 | 2018-06-20 |
| 1093225468 | Healthstat Onsite Clinic Parkdale Plant 21 | Preventive Medicine | 5005 Waxhaw Highway 75, Monroe, NC 28112 | 2017-10-11 |
| 1871026567 | H.o.p.e. Advancement, Inc. | Counselor | 349 Venus Street, Monroe, NC 28112 | 2017-04-10 |
| 1508304650 | Monroe Dental Clinic General Partnership | Dentist | 102 E Windsor Street, Monroe, NC 28112 | 2017-02-09 |
| 1073062865 | Garahetta Robin Sell | Massage Therapist | 600 West End Drive, Monroe, NC 28112 | 2016-09-22 |
| 1700280765 | Katherine Hartness | Massage Therapist | 205 N. Hayne St., Monroe, NC 28112 | 2014-10-20 |
| 1346655586 | Gaurav Chand | Internal Medicine | 1663 Campus Park Dr., Suite D, Monroe, NC 28112 | 2014-06-26 |
| Find all providers in zip 28112 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174138721 | Monroe Assisted Care Center Lc | Assisted Living Facility | 2299 Sterlington Rd, Monroe, LA 71203-3032 | 2020-09-10 |
| 1063026102 | Kesjan Assisted Living Care | Assisted Living Facility | 350 Desiard Plaza Dr Ste 117, Monroe, LA 71203-4959 | 2020-09-05 |
| 1922572783 | Laurie L Werrline | Assisted Living Facility | W5759 Mings Rd, Monroe, WI 53566-9795 | 2019-01-15 |
| 1265785273 | Georgia Health Services Network, LLC | Assisted Living Facility | 155 Bankers Blvd, Bldg A, Suite 100, Monroe, GA 30655-7722 | 2012-10-16 |
| 1063789501 | Monroe Manor Assisted Living Inc | Assisted Living Facility | 1101 Baucom Rd, Monroe, NC 28110-7584 | 2011-11-29 |
| 1881825529 | Carillon Assisted Living of Monroe, LLC | Assisted Living Facility | 5306 Secrest Short Cut Rd, Monroe, NC 28110 | 2009-07-29 |
| 1841330776 | Agape II | Assisted Living Facility | 1008 Griffith Rd, Monroe, NC 28112-6241 | 2007-02-08 |
| 1699815035 | Hillcrest Church Rest Home, Inc. | Assisted Living Facility | 4123 Hillcrest Church Rd, Monroe, NC 28110-8292 | 2007-02-07 |
| 1669518981 | Agape I | Assisted Living Facility | 504 Colony Rd, Monroe, NC 28112-4511 | 2007-01-30 |
| 1083751317 | Agape Windsor | Assisted Living Facility | 907 W Windsor St, Monroe, NC 28112-5469 | 2007-01-30 |
| Find all providers in MONROE | ||||
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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.