SKYLARK ADH-POWERS FERRY, LLC (NPI# 1568903805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568903805 |
| Entity Type | Organization |
| Organization Name | SKYLARK ADH-POWERS FERRY, LLC |
| Other Organization Name | SKYLARK ADULT DAY CENTER OF COBB |
| Practice Address |
120 Interstate North Pkwy East, Se Suite 420 Atlanta GA 30339-2164 |
| Mailing Address |
120 Interstate North Parkway East, Se Suite 420 Atlanta GA 30339-2164 |
| Practice Telephone | 6787413900 |
| Practice Fax Number | 6787413901 |
| Mailing Telephone | 6787413900 |
| Mailing Fax Number | 6787413901 |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |
| Authorized Official Name | MR. EDWIN HOWARD MORGENS (CEO) |
| Authorized Official Telephone | 7704768400 |
| Is Organization Subpart | Y |
| Parent Organization Name | SKYLARK SENIOR CARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
ADC000088 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 949972040A | 05 | |
| GA | 383600128C | 05 | |
| GA | 383600128D | 05 |
| Other Name | Type Code |
|---|---|
| Skylark Adult Day Center of Cobb | Doing Business As Name - Organization |
| Street Address |
120 INTERSTATE NORTH PKWY EAST, SE SUITE 420 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30339-2164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303426 | Cheryl E Williams | Counselor | 1870 The Exchange, Suite 200 - 361, Atlanta, GA 30339 | 2020-07-20 |
| 1245854371 | Synergia Integrated Telebehavioral Health | Clinic/Center | 3941 Old Atlanta Station Drive, Southeast, Atlanta, GA 30339 | 2020-06-04 |
| 1972123883 | Elizabeth Newton, Psyd and Assoc Inc | Psychologist | 1827 Powers Ferry Rd, Bldg 21, Atlanta, GA 30339 | 2020-04-21 |
| 1881165207 | Le Reve Medical Clinic PC | Family Medicine | 1827 Powers Ferryy Rd Se Bldg 7, Suite 150, Atlanta, GA 30339 | 2018-12-11 |
| 1013499821 | Deonna Pennamon | Specialist/Technologist | 5625 Suffex Green Lane, Atlanta, GA 30339 | 2018-08-29 |
| 1205326915 | Matthew Buyert | Counselor | 1827 Powers Ferry Rd Se Ste 22, Atlanta, GA 30339 | 2018-05-17 |
| 1760991632 | Horizons Unlimited Professional Services Inc. | Community/Behavioral Health | 1755 The Exchange Se Ste 190, Atlanta, GA 30339 | 2017-09-23 |
| 1932624418 | Kheder Basheer | Student in an Organized Health Care Education/Training Program | 3224 Post Woods Dr., Apt E, Atlanta, GA 30339 | 2017-08-07 |
| 1417486820 | Ashley Drake | Counselor | 4695 N Church Ln Se Apt 10306, Atlanta, GA 30339 | 2017-06-08 |
| 1992248298 | New Legacy Counseling and Training Center | Point of Service | 3350 Riverwood Parkway, Suite 1925, Atlanta, GA 30339 | 2016-11-18 |
| Find all providers in zip 30339 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750936498 | Sec of Georgia Corp | Clinic/Center | 5522 New Peachtree Rd Ste 128, Atlanta, GA 30341-2544 | 2019-08-08 |
| 1487126066 | Skylark Adh-atlanta LLC | Clinic/Center | 1705 Commerce Dr Nw Ste 200, Atlanta, GA 30318-3107 | 2018-12-20 |
| 1093204190 | Fulton County Government | Clinic/Center | 677 Fairburn Rd Nw, Atlanta, GA 30331-1423 | 2018-05-03 |
| 1366963019 | Summerset Assisted Living Inc. | Clinic/Center | 3711 Benjamin E Mays Dr Sw, Atlanta, GA 30331-8600 | 2017-07-03 |
| 1033665039 | Liberty Group Senior Services | Clinic/Center | 1879 Glenwood Avenue, Atlanta, GA 30316 | 2016-08-30 |
| 1235406711 | Safe Haven Lenox Park | Clinic/Center | 1137 Lynmoor Dr Ne, Atlanta, GA 30319-4125 | 2011-11-28 |
| 1952531956 | Mims Care Home | Clinic/Center | 1589 Mims St Sw, Atlanta, GA 30314-2255 | 2009-07-24 |
| 1114127883 | Stay Well Care Solutions, Inc. | Clinic/Center | 22 Executive Park Drive Ne, Atlanta, GA 30329-2206 | 2007-07-20 |
| 1477191773 | Prudent Senior Services of Georgia | Clinic/Center | 5522 New Peachtree Rd Ste 128, Atlanta, GA 30341-2544 | 2019-12-17 |
| 1609365709 | Fulton County Government | Clinic/Center | 515 John Wesley Dobbs Ave Ne, Atlanta, GA 30312-1329 | 2018-05-03 |
| Find all providers in ATLANTA | ||||
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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.