GEORGIA PREMIUM PERSONAL CARE (NPI# 1669029518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669029518 |
| Entity Type | Organization |
| Organization Name | GEORGIA PREMIUM PERSONAL CARE |
| Practice Address |
2107 Garden Wood Ct Atlanta GA 30349-6290 |
| Practice Telephone | 4048631541 |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2019-08-23 |
| Authorized Official Name | MRS. JACQUELINE JOHNSON (OWNER) |
| Authorized Official Telephone | 4048578639 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
2107 GARDEN WOOD CT |
| City | ATLANTA |
| State | GA |
| Zip Code | 30349-6290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185686 | Kmb Diagnostics | Durable Medical Equipment & Medical Supplies | 941 Flat Shoals Rd, Atlanta, GA 30349 | 2019-10-09 |
| 1114575859 | Justin Vassell | Registered Nurse | 1903 Phoenix Boulevard, Suite 200, College Park, GA 30349 | 2019-08-27 |
| 1841856663 | Kennyetta Danielle Watkins | Counselor | 1431 Riverwalk Ln, Apt. F, College Park, GA 30349 | 2019-05-16 |
| 1275002636 | Patriot Healthcare of Georgia, LLC | Family Medicine | 1587 Phoenix Boulevard, Suite 6, College Park, GA 30349 | 2018-11-15 |
| 1669971875 | Ee Consulting Solution | Case Management | 6320 Topaz Tral, Arlanta, GA 30349 | 2018-02-03 |
| 1629595640 | Shayla Bouie | Contractor | 5420 Riverdale Rd Apt D17, Atlanta, GA 30349 | 2017-08-30 |
| 1114475563 | Jasmine V Mccully | Social Worker | 5864 Summergien Lane, College Park, GA 30349 | 2016-09-14 |
| 1639537681 | Shelia Thornton | Counselor | 5856 Seabright Lane, Atlanta, GA 30349 | 2016-02-05 |
| 1346610177 | Joanne Resilard | Nurse Practitioner | 2931 Herron Ln Sw, Atlanta, GA 30349 | 2015-10-06 |
| 1063805091 | Southwest Atlanta Medical & Rehabilitation Clinic LLC | Family Medicine | 495 85 Circle, Suite 100, Atlanta, GA 30349 | 2015-03-16 |
| Find all providers in zip 30349 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126850 | Surge Home Care | In Home Supportive Care | 707 Park Ave. Ne, #1532, Atlanta, GA 30326 | 2020-08-31 |
| 1285244681 | Health Connect Caregivers LLC | In Home Supportive Care | 3300 Buckeye Rd Ste 500, Atlanta, GA 30341-4232 | 2020-07-31 |
| 1922617901 | Care for All Homecare LLC | In Home Supportive Care | 2302 Parklake Dr Ne Ste 120, Atlanta, GA 30345-2896 | 2020-07-27 |
| 1558979930 | Pearls of Wisdom Healthcare LLC | In Home Supportive Care | 600 Greensferry Ave Sw Apt 903, Atlanta, GA 30314-4347 | 2020-07-21 |
| 1831726447 | Prosper Community Care, LLC | In Home Supportive Care | 3088 Mercer University Dr Ste 100b, Atlanta, GA 30341-4140 | 2020-03-24 |
| 1336776947 | Prosper Private Care, LLC | In Home Supportive Care | 3088 Mercer University Dr Ste 100c, Atlanta, GA 30341-4140 | 2020-03-24 |
| 1194357095 | Addies Tender Home Care Services | In Home Supportive Care | 3057 Collier Dr Nw, Atlanta, GA 30318-7152 | 2020-02-08 |
| 1700426996 | A Touch of Love Personal Care & Consulting | In Home Supportive Care | 100 Hartsfield Centre Pkwy Suite 500, Atlanta, GA 30354 | 2020-01-15 |
| 1538702253 | Tiara Roberson | In Home Supportive Care | 3059 Quantum Ln, Atlanta, GA 30341-8100 | 2019-10-25 |
| 1104468776 | An Extra Hand Home Care LLC. | In Home Supportive Care | 1903 Drew Dr Nw Apt 1204, Atlanta, GA 30318-3527 | 2019-10-15 |
| 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.