MANOR CARE OF MARIETTA GA LLC (NPI# 1619914520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619914520 |
| Entity Type | Organization |
| Organization Name | MANOR CARE OF MARIETTA GA LLC |
| Other Organization Name | MANORCARE REHABILITATION CENTER-MARIETTA |
| Practice Address |
4360 Johnson Ferry Pl Marietta GA 30068-2016 |
| Mailing Address |
333 N Summit St Toledo OH 43604-2615 |
| Practice Telephone | 7709715870 |
| Practice Fax Number | 7703218588 |
| Mailing Telephone | 4192525500 |
| Mailing Fax Number | 8773859446 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2017-05-11 |
| Authorized Official Name | MR. MARTIN D ALLEN (DIRECTOR) |
| Authorized Official Telephone | 4192525743 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1-033-1601 | GA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000236211A | 05 |
| Other Name | Type Code |
|---|---|
| ManorCare Rehabilitation Center-Marietta | Doing Business As Name - Organization |
| Street Address |
4360 JOHNSON FERRY PL |
| City | MARIETTA |
| State | GA |
| Zip Code | 30068-2016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912421751 | Evan Mcguire | Physical Therapist | 4360 Johnson Ferry Pl, Marietta, GA 30068-2063 | 2017-08-02 |
| 1700324043 | Nicole Mosley | Nurse Practitioner | 4360 Johnson Ferry Pl, Heartland Care Partners, Marietta, GA 30068-2063 | 2017-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798917 | Barbara Ann Goldschmidt | Pharmacist | 4088 Lower Roswell Rd, Marietta, GA 30068 | 2020-10-20 |
| 1285274480 | Cory Plasker | Chiropractor | 519b Johnson Ferry Road, Suite 350, Marietta, GA 30068 | 2020-01-15 |
| 1952949893 | Dr Amy L Varner LLC | Internal Medicine | 1000 Johnson Ferry Rd Bldg E Ste 200, Marietta, GA 30068 | 2019-12-11 |
| 1417501834 | Cornerstone Hospice and Palliative Care of Georgia, LLC | Hospice Care, Community Based | 1225 Johnson Ferry Rd., Bldg. 100, Suite 160, Marietta, GA 30068 | 2019-07-25 |
| 1639721038 | Cayla Clark | Behavior Technician | 137 Johnson Ferry Road Suite 2170, Marietta, GA 30068 | 2019-07-15 |
| 1467910828 | 2me Healthcare,llc | Home Health | 2586 Club Valley Drive Ne, Marietta, GA 30068 | 2019-03-05 |
| 1265912604 | Feidy Chiropractic Clinic Inc, Dba Cardwell Chiropractic Clinic | Chiropractor | 1230 Johnson Ferry Pl Ste G30, Marietta, GA 30068 | 2018-08-15 |
| 1225514219 | Audrey Hughes. Lcsw, LLC | Clinic/Center | 1212 Johnson Ferry Rd, Suite 300, Marietta, GA 30068 | 2018-07-13 |
| 1316461379 | Evan King | Registered Nurse | 52 Pioneer Trl, Marietta, GA 30068 | 2017-08-01 |
| 1912431867 | Anthony Izore | Nurse Practitioner | 5163 Tall Oak Drive, Marietta, GA 30068 | 2017-04-18 |
| Find all providers in zip 30068 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053797340 | C.r. of Autumn Breeze, LLC | Skilled Nursing Facility | 1480 Sandtown Rd Sw, Marietta, GA 30008-3821 | 2015-08-10 |
| 1629312079 | Sundance | Skilled Nursing Facility | 145 Cox Farm Rd Nw, Marietta, GA 30064-5059 | 2012-11-23 |
| 1639241284 | Marietta Care, LLC | Skilled Nursing Facility | 400 N 7th St, Marietta, OH 45750-2024 | 2006-11-15 |
| 1184730913 | Marietta Healthcare, LLC | Skilled Nursing Facility | 117 Bartlett St, Marietta, OH 45750-2683 | 2006-08-22 |
| 1295768497 | Hcc Healthcare of Marietta, LLC | Skilled Nursing Facility | 811 Kennesaw Avenue, Marietta, GA 30060 | 2006-07-09 |
| 1164466942 | Heartland of Marietta Oh, LLC | Skilled Nursing Facility | 2501 State Route 60, Marietta, OH 45750-1271 | 2006-06-15 |
| 1053366336 | Mt. Kenn Nursing, LLC | Skilled Nursing Facility | 1480 Sandtown Road, Marietta, GA 30008-3821 | 2006-05-24 |
| 1700838265 | Ggnsc Marietta LLC | Skilled Nursing Facility | 613 Roselane St Nw, Marietta, GA 30060-6940 | 2006-05-16 |
| 1447219696 | Mpi Management, Inc | Skilled Nursing Facility | 2906 Geer Hwy, Marietta, SC 29661-9517 | 2006-03-17 |
| 1558357368 | Marietta Health and Rehabilitation Center, Inc. | Skilled Nursing Facility | 50 Saine Dr Sw, Marietta, GA 30008-3824 | 2005-09-27 |
| Find all providers in MARIETTA | ||||
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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.