ENCARE, LLC (NPI# 1689997496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689997496 |
| Entity Type | Organization |
| Organization Name | ENCARE, LLC |
| Practice Address |
1725 E 32nd St Savannah GA 31404-2333 |
| Mailing Address |
130 Canal St Ste 301 Pooler GA 31322-4089 |
| Practice Telephone | 9122346170 |
| Mailing Telephone | 9127482744 |
| Mailing Fax Number | 9127488223 |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2010-03-08 |
| Authorized Official Name | CHANDRA BURKE (DIRECTOR) |
| Authorized Official Telephone | 9123121941 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 059547175B | 05 | |
| GA | 059547175A | 05 |
| Street Address |
1725 E 32ND ST |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31404-2333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043864580 | Carli A Boatright | Registered Nurse | 4750 Waters Ave Suite 206, Savannah, GA 31404 | 2019-08-01 |
| 1619530573 | Morgan Johnson | Student in an Organized Health Care Education/Training Program | Memorial Health University Medical Center, 4700 Waters Ave, Savannah, GA 31404 | 2019-04-17 |
| 1477050243 | Kevin Timperman | Student in an Organized Health Care Education/Training Program | 4700 Waters Avenus, Surgery Residency Program, Mhumc, Savannah, GA 31404 | 2018-04-09 |
| 1376048959 | Nina Jo Paletta | Student in an Organized Health Care Education/Training Program | Memorial University Medical Center, 4700 Waters Ave., Savannah, GA 31404 | 2018-03-27 |
| 1972036200 | Jose Adrian Lara Gonzalez | Student in an Organized Health Care Education/Training Program | 4700 Waters Ave, Memorial University Medical Center, Internal Medicine Residency Program, Savannah, GA 31404 | 2017-04-04 |
| 1407210396 | Lexie Hester Vaughn | Student in an Organized Health Care Education/Training Program | 1250 East 66th St, Savannah, GA 31404 | 2016-04-07 |
| 1336503291 | Miles Love | Student in an Organized Health Care Education/Training Program | 1250 East 66th Street, Savannah, GA 31404 | 2016-04-07 |
| 1134536881 | David Patch | Specialist/Technologist | Pediatric Residency Program, Memorial University, Medical Center 4700 Waters Avenue, Savannah, GA 31404 | 2014-07-15 |
| 1962846683 | Alan Danilo Zevallos | Internal Medicine | 4700 Waters Avenue, University Medical Center, Internal Medicine Residency Program, Memorial Health, Savannah, GA 31404 | 2013-04-24 |
| 1730446394 | Joshua Ryan Fann | Prosthetist | 3840 Waters Ave, Savannah, GA 31404 | 2012-04-19 |
| Find all providers in zip 31404 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801403050 | Safe Haven Personal Care Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10875 Abercorn St Apt 132, Savannah, GA 31419-1843 | 2020-09-30 |
| 1891181335 | First Lady Residential Service LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 401 Barnhill Dr, Savannah, GA 31406-5912 | 2015-04-10 |
| 1790032480 | Service Provider Solutions, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1224 Charleston Ln, Savannah, TX 76227-7819 | 2012-08-13 |
| 1497015366 | Jasmine Personal Care Home, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 25 Canterbury Cir, Savannah, GA 31419-2700 | 2012-05-24 |
| 1992839567 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1221 E. 59th Street, Savannah, GA 31404 | 2007-03-15 |
| 1720111040 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 148 Sea Palms Road, Savannah, GA 31410 | 2007-03-14 |
| 1770616104 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 121 Palmetto Bay Rd, Savannah, GA 31410-2642 | 2007-03-14 |
| 1215060918 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6729 Key Street, Savannah, GA 31406 | 2007-03-13 |
| 1043343015 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12509 Bridlewood Dr, Savannah, GA 31419-2639 | 2007-03-13 |
| 1487787255 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2120 Vermont Avenue, Savannah, GA 31404 | 2007-03-13 |
| Find all providers in SAVANNAH | ||||
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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.