BRIGHTMOOR ASSISTED LIVING, INC. (NPI# 1639448913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639448913 |
Entity Type | Organization |
Organization Name | BRIGHTMOOR ASSISTED LIVING, INC. |
Practice Address |
3223 Newnan Rd Griffin GA 30223-7114 |
Mailing Address |
P. O. Box 965 Griffin GA 30224-0025 |
Practice Telephone | 7702279950 |
Practice Fax Number | 7702279958 |
Mailing Telephone | 7702279950 |
Mailing Fax Number | 7702279958 |
Enumeration Date | 2011-12-15 |
Last Update Date | 2011-12-15 |
Authorized Official Name | PENNY GRIFFIN (REGIONAL VP OF OPERATIONS) |
Authorized Official Telephone | 7702281228 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | 126030031 | GA | Nursing & Custodial Care Facilities |
Street Address |
3223 NEWNAN RD |
City | GRIFFIN |
State | GA |
Zip Code | 30223-7114 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235783036 | Jennifer Lashawn Stevenson | Registered Nurse | 1071 Highway 16 West, Griffin, GA 30223 | 2019-07-30 |
1992357644 | Nikki Petty | Behavior Technician | 185 Grady Street, Griffin, GA 30223 | 2019-07-12 |
1568940146 | Brenda Pope | Counselor | 1710 Highway 16 West, Griffin, GA 30223 | 2018-08-05 |
1073025151 | Vonita Clowers | Specialist | 1424 N. Expy, Suite 115, Griffin, GA 30223 | 2017-10-30 |
1912427592 | Sheena Murphy | Registered Nurse | 109 N. 10th Street, Griffin, GA 30223 | 2017-06-23 |
1033639612 | Taralyn Rae Sams | Registered Nurse | 109 North 10th Street, Griffin, GA 30223 | 2017-06-23 |
1326594656 | Wendell Robinson | Registered Nurse | 109 N.10th Street, Griffin, GA 30223 | 2016-08-28 |
1508235466 | Trenisha Jones Mccall | Counselor | 1815 North Expressway, Griffin, GA 30223 | 2015-09-22 |
1104224948 | Dawn Tyus | Counselor | 424 W. Taylor Street, Griffin, GA 30223 | 2014-12-10 |
1003173030 | Ingles Markets Inc | Pharmacy | 1735 Zebulon Rd, Griffin, GA 30223 | 2012-04-16 |
Find all providers in zip 30223 |
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 |
---|---|---|---|---|
1235257858 | New Horizons Management, Inc | Assisted Living Facility | 205 W College St, Griffin, GA 30224-4120 | 2007-03-26 |
1093833667 | New Horizons Management, Inc | Assisted Living Facility | 207 W College St, Griffin, GA 30224-4120 | 2007-03-26 |
1326104720 | Christian Ministries Volunteer Organization | Assisted Living Facility | 630 Meriwether St, Griffin, GA 30224-4139 | 2006-12-29 |
1902960107 | Maya's Assistant Living, Inc. | Assisted Living Facility | 321 S 12th St, Griffin, GA 30224-4116 | 2006-12-21 |
1811014459 | New Horizons of Management, Inc | Assisted Living Facility | 205 W College St, Griffin, GA 30224-4120 | 2007-03-26 |
1639235047 | Southern Crescent Personal Care Home | Assisted Living Facility | 630 Meriwether St, Griffin, GA 30224-4139 | 2006-12-29 |
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.