SPECIALIZED HEALTHCARE SERVICES INC (NPI# 1679091458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679091458 |
| Entity Type | Organization |
| Organization Name | SPECIALIZED HEALTHCARE SERVICES INC |
| Other Organization Name | SPECIALIZED HEALTHCARE SERVICES LLC |
| Practice Address |
2920 Tobacco Road, Suit A Hephzibah GA 30815 |
| Mailing Address |
2920 Tobacco Rd Ste A Hephzibah GA 30815-9012 |
| Practice Telephone | (770) 365-0578 |
| Mailing Telephone | 7703650578 |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2017-08-31 |
| Authorized Official Name | MRS. JOHNETTE DIVERS (CONTRACTS ADMINISTRATOR) |
| Authorized Official Telephone | 4046045691 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | 033-R-1448 | GA | Agencies |
| Other Name | Type Code |
|---|---|
| Specialized Healthcare Services LLC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861759987 | Specialized Healthcare Services Inc | Psychiatry & Neurology | 4350 W 16th St, Chicago, IL 60623-1047 | 2012-04-13 |
| Street Address |
2920 TOBACCO ROAD, SUIT A |
| City | HEPHZIBAH |
| State | GA |
| Zip Code | 30815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144747437 | Willie Mae Berry Pugh | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2013 Teal Court, Hephzibah, GA 30815 | 2017-08-28 |
| 1811448319 | Butterfly Gardens Hospice & Palliative Care | Hospice, Inpatient | 3112 Blackmon Court, Hephzibah, GA 30815 | 2016-10-19 |
| 1841651098 | Michelle Sherrie Coleman | Home Health Aide | 2708 Bob White Court, Hephzibah, GA 30815 | 2016-03-16 |
| 1285046409 | Allison Dionne Harden Bostic | Nurse's Aide | 1557 Brown Rd, Hephzibah, GA 30815 | 2014-05-22 |
| 1568802353 | Daryl Wolf | Chiropractor | 2742 Willis Foreman Rd., Hephzabah, GA 30815 | 2013-06-26 |
| 1336467547 | Gussie Holmes Lawson | Adult Companion | 2412 Orchard Dr., Hephzibah, GA 30815 | 2010-05-12 |
| 1275864811 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2232 Montcrief Drive, Hephzibah, GA 30815 | 2010-01-21 |
| 1376878801 | Freeman's Second Time Around Healthcare Services | Home Health | 2716 Castletown Dr, Hephzibah, GA 30815 | 2009-10-16 |
| 1205028545 | Tonia Lynn Manley | Licensed Practical Nurse | 38th Street Building 38707, Fort Gordon, GA 30815 | 2007-08-10 |
| 1336211317 | Ted Oley Oellerich | Dentist | 2357 Hwy 88, Hephzibah, GA 30815 | 2006-11-14 |
| Find all providers in zip 30815 | ||||
| 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 |
|---|---|---|---|---|
| 1396387361 | Jessica Leeann Jackson | In Home Supportive Care | 2643 Portsmouth Pl, Hephzibah, GA 30815-6434 | 2019-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740356 | Charlies Angels Care Corp | In Home Supportive Care | 525 W Broad St, Twin City, GA 30471-4187 | 2020-11-05 |
| 1316547433 | Xl Promise Home Care LLC | In Home Supportive Care | 102 Highland Park Trl, Sandy Springs, GA 30350-3392 | 2020-10-28 |
| 1639779960 | Caring House Home Care Services, LLC | In Home Supportive Care | 1100 Pittsburgh Ave, White Plains, GA 30678 | 2020-10-27 |
| 1518565159 | First Choice Home Health Care LLC | In Home Supportive Care | 600 Westridge Parkway, Suite 707, Mcdonough, GA 30253 | 2020-10-15 |
| 1871100123 | Angella Miller | In Home Supportive Care | 326 Carrington Ln, Douglasville, GA 30135-6712 | 2020-09-29 |
| 1366059222 | Esther Home Care Services LLC | In Home Supportive Care | 3153 Chapel Rd Nw, Kennesaw, GA 30144-4203 | 2020-09-25 |
| 1538776570 | Superior Home Care Services, LLC | In Home Supportive Care | 2242 Young America Dr, Lawrenceville, GA 30043-8011 | 2020-09-24 |
| 1548876816 | Dwe-bah Home Care LLC. | In Home Supportive Care | 1991 Roxey Ln, Winder, GA 30680-6124 | 2020-09-21 |
| 1174138416 | Crossley Seniorcare LLC | In Home Supportive Care | 4321 S Lee St Ste 400, Buford, GA 30518-5776 | 2020-09-14 |
| 1427662634 | V E Health Services LLC | In Home Supportive Care | 3164 Town and Country Road, Donalsonville, GA 39845 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
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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.