MARIETTA SENIOR LIVING LLC (NPI# 1629296231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629296231 |
| Entity Type | Organization |
| Organization Name | MARIETTA SENIOR LIVING LLC |
| Other Organization Name | SPRING MOUNTAIN ASSISTED LIVING AND MEMORY CARE COMMUNITY |
| Practice Address |
1790 Powder Springs Rd Sw Marietta GA 30064-4154 |
| Mailing Address |
Po Box 3006 Salem OR 97302-0006 |
| Practice Telephone | 7709197799 |
| Practice Fax Number | 5034851279 |
| Mailing Telephone | 5034858697 |
| Mailing Fax Number | 5034861279 |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2008-07-23 |
| Authorized Official Name | JON M HARDER (MANAGER) |
| Authorized Official Telephone | 5033759016 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | 033030251 | GA | Nursing & Custodial Care Facilities |
| N | 311500000X | Alzheimer Center (Dementia Center) | 033030251 | GA | Nursing & Custodial Care Facilities |
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Spring Mountain Assisted Living and Memory Care Community | Doing Business As Name - Organization |
| Street Address |
1790 POWDER SPRINGS RD SW |
| City | MARIETTA |
| State | GA |
| Zip Code | 30064-4154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194162651 | Sushma Sanjay Acharya | Occupational Therapist | 1790 Powder Springs Rd Sw, Marietta, GA 30064-4154 | 2013-05-23 |
| 1164762654 | Lisa Stewart Cepress | Physical Therapist | 1790 Powder Springs Rd Sw, Marietta, GA 30064-4154 | 2013-02-21 |
| 1811236995 | Laura Thurman Lilly | Occupational Therapist | 1790 Powder Springs Rd Sw, Marietta, GA 30064-4154 | 2013-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833304 | Chelsey Lewis | Pharmacist | 660 Whitlock Ave Sw, Marietta, GA 30064 | 2020-05-21 |
| 1316428527 | Candice Murray | Nurse Practitioner | 2727 Wynford Ave Sw, Marietta, GA 30064 | 2018-08-25 |
| 1427539741 | Emily Dorsey Drew | Nurse Practitioner | 3911 Mary Eliza Trce Nw Ste 200, Marietta, GA 30064 | 2018-08-24 |
| 1649765017 | Julie K Berger | Counselor | 336 Powder Springs St Suite 206, Marietta, GA 30064 | 2018-06-27 |
| 1689175291 | Anthony Bammer | Clinical Exercise Physiologist | 1001 Whitlock Avenue Nw, Marietta, GA 30064 | 2018-02-28 |
| 1831600725 | Dyniecia Barnes | Specialist | 2575 White Haven Dr Sw, Ste 100 / Salon 121, Marietta, GA 30064 | 2017-10-18 |
| 1588173298 | Michelle Ann Stich | Assistant Behavior Analyst | 376 Powder Springs St Ste 130, Marietta, GA 30064 | 2017-09-26 |
| 1194241976 | Namasine Lolice Dalrymple | Counselor | 1708 Peachtree St, Suite 300, Atlanta, GA 30064 | 2017-08-14 |
| 1245760859 | Michael H Mulkey, Dmd PC | Dentist | 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 | 2017-06-15 |
| 1700310893 | West Cobb Dentist Office, PC | Dentist | 3805 Dallas Hwy Sw, Suite 804, Marietta, GA 30064 | 2017-04-14 |
| Find all providers in zip 30064 | ||||
| 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 |
|---|---|---|---|---|
| 1194088187 | Golden Rose of Post Oak LLC | Assisted Living Facility | 2147 Post Oak Tritt Rd, Marietta, GA 30062-1609 | 2012-06-25 |
| 1467738153 | Milford Chase Operations, LLC | Assisted Living Facility | 1345 Milford Church Rd Sw, Marietta, GA 30008-8182 | 2011-10-26 |
| 1437439676 | Green Parkpch,inc | Assisted Living Facility | 2941 Sandy Plains Rd, Marietta, GA 30066-4652 | 2011-08-19 |
| 1043514987 | Atria Senior Living Group, Inc | Assisted Living Facility | 9 Sherwood Ln Se, Marietta, GA 30067-4035 | 2011-01-07 |
| 1649587668 | Marietta Continuing Care Community, Inc | Assisted Living Facility | 200 Timberline Dr, Marietta, OH 45750-9238 | 2010-09-13 |
| 1881826774 | Emeritus Corporation | Assisted Living Facility | 150 Browns Rd, Marietta, OH 45750-9085 | 2009-08-11 |
| 1467614222 | Atlanta Secure Care Service, Inc | Assisted Living Facility | 2399 Monte Villa Cts, Marietta, GA 30062-2897 | 2008-07-01 |
| 1558534396 | Assisted Living Concepts Inc | Assisted Living Facility | 1160 Whitlock Avenue, Marietta, GA 30064 | 2008-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475086 | The We Care Homecare Foundation, Inc | Assisted Living Facility | 5701 Mableton Pkwy Sw Ste 306, Mableton, GA 30126-3360 | 2020-10-18 |
| 1871100412 | Forever Harmony PCh Inc | Assisted Living Facility | 205 Providence Walk Ct, Canton, GA 30114-8622 | 2020-09-28 |
| 1063026953 | New Hope Living Centre Dba The Fite Living Centre | Assisted Living Facility | 5 Fite St, Cartersville, GA 30120-3408 | 2020-09-08 |
| 1033723697 | Jordan Scott Seamans | Assisted Living Facility | 7778 Schomburg Rd Apt 610, Columbus, GA 31909-1928 | 2020-09-01 |
| 1225641368 | Renaissance Gainesville 1, LLC | Assisted Living Facility | 2215 Old Hamilton Pl, Gainesville, GA 30507-7893 | 2020-08-28 |
| 1770193120 | Simply Living Personal Care Home, LLC | Assisted Living Facility | 3 Berwick Ct, Savannah, GA 31406-6721 | 2020-07-31 |
| 1487276184 | 1115 Smith Opco LLC | Assisted Living Facility | 135 Market St, Thomasville, GA 31792-5782 | 2020-05-15 |
| 1497376545 | Shawitekia Johnson | Assisted Living Facility | 312 Magnolia Dr, Thomson, GA 30824-1842 | 2020-04-29 |
| 1366075848 | Liagiba, Inc | Assisted Living Facility | 518 Lake Michele Ct, Stone Mountain, GA 30088-1401 | 2020-02-13 |
| 1639701352 | Angels Live Here Inc. | Assisted Living Facility | 89 Level Creek Rd, Suwanee, GA 30024-1779 | 2020-02-11 |
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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.