CARE WIND PLACE, INC (NPI# 1558612374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558612374 |
| Entity Type | Organization |
| Organization Name | CARE WIND PLACE, INC |
| Practice Address |
2895 Jordan Ave Macon GA 31217-4919 |
| Practice Telephone | 4783901172 |
| Practice Fax Number | 4783306692 |
| Mailing Telephone | 4783901172 |
| Mailing Fax Number | 4783306692 |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2012-09-20 |
| Authorized Official Name | MRS. TRACY LYNETTE THOMPSON (DIRECTOR) |
| Authorized Official Telephone | 4783901172 |
| Authorized Official Credential | B.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
CLA 000754 | GA | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 583023880A | 05 |
| Street Address |
2895 JORDAN AVE |
| City | MACON |
| State | GA |
| Zip Code | 31217-4919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326535998 | Khuzema Mohsin | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Building A, Suite 430, Macon, GA 31217 | 2018-04-18 |
| 1083135271 | Angela Polk | Nurse Practitioner | 310 Hospital Dr Ste 305, Macon, GA 31217 | 2017-06-28 |
| 1235662305 | Natalie Rodziewicz | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Suite 430, Macon, GA 31217 | 2017-04-06 |
| 1427430180 | Brett Forehand | Nurse Practitioner | 330 Hospital Dr Ste 304, Macon, GA 31217 | 2015-06-18 |
| 1376772640 | Beverly Barksdale Sanders IIi | Internal Medicine | 330 Hospital Dr., Ste. 304, Macon, GA 31217 | 2009-07-08 |
| 1528218393 | Vladimir Zahradnik | Surgery | 380 Hospital Dr Bldg A Ste 320, Macon, GA 31217 | 2008-09-29 |
| 1821274267 | Mary Charmaine Estrella Campana | Physical Therapist | 380 Hospital Drive, Building A, Ste. 430, Macon, GA 31217 | 2008-01-16 |
| 1033300785 | Joann Sams Sinclair | Nurse Practitioner | 4164 Riggins Mill Road, Macon, GA 31217 | 2007-08-07 |
| 1376689737 | Grier Godfrey | Dentist | Macon-bibb County Health Department, 171 Emery Highway, Macon, GA 31217 | 2007-01-30 |
| 1053408328 | Sujatha K. Reddy | Psychiatry & Neurology | 175 Emery Highway, Macon, GA 31217 | 2006-10-06 |
| Find all providers in zip 31217 | ||||
| Taxonomy Code | 385HR2060X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
| 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] |
| 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 |
| 1538539093 | Southerland Clark Enterprises LLC | Respite Care | 315 N. Louisville St., Harlem, GA 30814 | 2015-09-28 |
| 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 |
| 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 | ||||
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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.