MONROE HMA LLC (NPI# 1629011713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629011713 |
| Entity Type | Organization |
| Organization Name | MONROE HMA LLC |
| Other Organization Name | WALTON REGIONAL NURSING HOME |
| Practice Address |
330 Alcovy St Monroe GA 30655-2140 |
| Practice Telephone | 7702678461 |
| Mailing Telephone | 7702678461 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2014-01-28 |
| Authorized Official Name | LAURIE HOLTSFORD (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 6154657466 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000143448A | 05 |
| Other Name | Type Code |
|---|---|
| Walton Regional Nursing Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659314672 | Monroe Hma LLC | Medicare Defined Swing Bed Unit | 330 Alcovy St, Monroe, GA 30655-2140 | 2006-06-14 |
| Street Address |
330 ALCOVY ST |
| City | MONROE |
| State | GA |
| Zip Code | 30655-2140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457350498 | David B. Austin | Anesthesiology | 330 Alcovy St, Wrmc - Anesthesiology, Monroe, GA 30655-2140 | 2005-07-20 |
| 1922380476 | Care Plus Walton Hospitalists, LLC | Hospitalist | 330 Alcovy St, Monroe, GA 30655-2140 | 2011-09-11 |
| 1396077756 | Youn Ju Lee | Nurse Practitioner | 330 Alcovy St, Monroe, GA 30655-2140 | 2010-02-09 |
| 1023280963 | Alcovy Emergency Physicians | Emergency Medicine | 330 Alcovy St, Monroe, GA 30655-2140 | 2008-04-01 |
| 1619171550 | Walton Hospitalist Associates | Hospitalist | 330 Alcovy St, Monroe, GA 30655-2140 | 2007-06-13 |
| 1265642946 | Walton Anesthesia Associates, PC | Anesthesiology | 330 Alcovy St, Monroe, GA 30655-2140 | 2007-05-23 |
| 1073632600 | Premier Anesthesia Associates | Nurse Anesthetist, Certified Registered | 330 Alcovy St, Monroe, GA 30655-2140 | 2007-03-28 |
| 1760527915 | Jeff Cohenour | Pathology | 330 Alcovy St, Monroe, GA 30655-2140 | 2007-02-21 |
| 1619012879 | Jeff Cohenour, Md, PC | Clinical Medical Laboratory | 330 Alcovy St, Monroe, GA 30655-2140 | 2007-02-21 |
| 1881612836 | Brittney L Marler | Physician Assistant | 330 Alcovy St, Monroe, GA 30655-2140 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968149 | Coresa Hawanis Thomas | Counselor | Advantage Behavioral Health, 384 State Hwy 11 Sw, Walton, GA 30655 | 2020-10-06 |
| 1821629049 | Daniel A Hodges | Dentist | 1190 West Spring St, Suite A, Monroe, GA 30655 | 2020-01-27 |
| 1669019071 | Daniel Bradley Hodges | Dentist | 1190 W. Spring St, Monroe, GA 30655 | 2019-12-04 |
| 1861962730 | Danny Shoemake | Counselor | 2080 Highway 78 Nw, Monroe, GA 30655 | 2018-12-04 |
| 1205329687 | Advantage Behavioral Health Systems | Clinic/Center | 638 Michael Cir., Monroe, GA 30655 | 2018-06-11 |
| 1144722455 | Catherine Williams | Behavioral Analyst | 109 Blaine Street, Monroe, GA 30655 | 2018-03-02 |
| 1588186811 | Francette Dubuche Bernard | Nurse Practitioner | 398 Highway 11, Sw, Monroe, GA 30655 | 2017-07-07 |
| 1437699006 | Amanda Kaye Green | Nurse Practitioner | 517 Great Oaks Drive Suite 103, Monroe, GA 30655 | 2017-03-02 |
| 1639528524 | Matthew Bradford Allgood | Physical Therapist | 2120 W Spring St Ste 1500, Monroe, GA 30655 | 2016-06-10 |
| 1477939221 | Healthy Home Transitions | Social Worker | 506 S Broad Street, Monroe, GA 30655 | 2015-08-04 |
| Find all providers in zip 30655 | ||||
| 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 |
|---|---|---|---|---|
| 1992106348 | The Heritage of Union County, LLC | Skilled Nursing Facility | 3510 W Highway 74, Monroe, NC 28110-8441 | 2014-09-04 |
| 1245514546 | Riverside Nursing Home, LLC | Skilled Nursing Facility | 7950 Millhaven Road, Monroe, LA 71203-9008 | 2011-10-05 |
| 1295990836 | Marci Gail Milne | Skilled Nursing Facility | 3006 Dewdrop Ct, Monroe, NC 28110-6346 | 2008-07-23 |
| 1821265638 | Ida Lyn Stevenson | Skilled Nursing Facility | 2903 13th St, Monroe, WI 53566-2245 | 2008-05-12 |
| 1467657304 | Northeast Louisana Veterans Home | Skilled Nursing Facility | 6700 Highway 165 N, Monroe, LA 71203-8753 | 2007-06-20 |
| 1023180734 | Extendicare Health Facilities, Inc. | Skilled Nursing Facility | 516 26th Ave, Monroe, WI 53566-1531 | 2006-11-15 |
| 1033207121 | Management Company Inc | Skilled Nursing Facility | 4201 S Grand St, Monroe, LA 71202-6319 | 2006-10-11 |
| 1801996210 | Promedica Monroe Skilled Nursing and Rehab | Skilled Nursing Facility | 700 Stewart Rd, Monroe, MI 48162-5304 | 2006-09-25 |
| 1396754750 | Avalon Place, Lp | Skilled Nursing Facility | 4385 Old Sterlington Rd, Monroe, LA 71203-2360 | 2006-08-05 |
| 1912931254 | Woodlawn Manor, Inc. | Skilled Nursing Facility | 1000 Mckeen Pl, Monroe, LA 71201 | 2006-07-11 |
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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.