XTREME HOMECARE LLC (NPI# 1699253260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699253260 |
| Entity Type | Organization |
| Organization Name | XTREME HOMECARE LLC |
| Practice Address |
706 Treehills Pkwy Stone Mountain GA 30088-3045 |
| Practice Telephone | 6788767553 |
| Practice Fax Number | 4703753920 |
| Mailing Telephone | 6788767553 |
| Mailing Fax Number | 4703753920 |
| Enumeration Date | 2018-08-05 |
| Last Update Date | 2018-08-17 |
| Authorized Official Name | SHANTAIN CURRY (OWNER) |
| Authorized Official Telephone | 6788767553 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| Street Address |
706 TREEHILLS PKWY |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30088-3045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565902 | Edward Edeh | Pharmacist | 1232 South Hairstoh Road, Stone Mountain, GA 30088 | 2020-10-16 |
| 1588124879 | Birds of Paradise Physical Therapy Services,llc | Physical Therapy Assistant | 754 Post Road Ln, Address Line 2, Stone Mountain, GA 30088 | 2019-03-22 |
| 1710467923 | Stephanie Patrice Mccray | In Home Supportive Care | 1058 Millard Road, Stone Mountain, GA 30088 | 2018-08-16 |
| 1912365321 | Audrey Perry | Respiratory Therapist, Certified | 1588 Linkview Close, Stone Mountain, GA 30088 | 2016-02-01 |
| 1689041428 | Reaching Above Poverty | Counselor | 5401 Megan Rd, Stone Mountain, GA 30088 | 2015-08-27 |
| 1043692254 | Bethany Johnson | Home Health Aide | 981 Deer Chase Court, Stone Mountain, GA 30088 | 2015-06-24 |
| 1073859666 | Whitney's Place Inc. | Custodial Care Facility | 5451 Rockbeidge Road, Stone Mountain, GA 30088 | 2012-12-31 |
| 1831468818 | The Art of Living Cla LLC. | Community/Behavioral Health | 1668 South Hairston Rd, Stone Mountain, GA 30088 | 2011-12-21 |
| 1659670792 | Atarah Ranit Kimmons | Occupational Therapist | 2045 County Down Lane, Stone Moutain, GA 30088 | 2011-03-15 |
| 1104060219 | William Tyrell Reid Jr. | Dentist | 1183 South Hairstron Rd., Suite D, Stone Mountain, GA 30088 | 2009-04-21 |
| Find all providers in zip 30088 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649623554 | Lisa Robinson | Home Health Aide | 5373 Kelleys Mill Cir, Stone Mountain, GA 30088-3824 | 2016-07-14 |
| 1073982518 | Purdi C James | Home Health Aide | 1200 Silver Hill Rd, Stone Mountain, GA 30087-2416 | 2015-09-15 |
| 1043692254 | Bethany Johnson | Home Health Aide | 981 Deer Chase Court, Stone Mountain, GA 30088 | 2015-06-24 |
| 1356764542 | Sasha-ann L Cisneros | Home Health Aide | 888 Brandy Oaks Ln, Stone Mountain, GA 30088-2025 | 2014-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558594 | James D Hickman | Home Health Aide | 2252 Addison Park, Riverdale, GA 30296 | 2020-11-04 |
| 1255932653 | Loving Hands Adult Care | Home Health Aide | 101 St. Goerge Blvd, 6t, Savannah, GA 31419 | 2020-11-03 |
| 1417557661 | Turkessa Moody | Home Health Aide | 103 Tappan Zee Dr, Pooler, GA 31322-9440 | 2020-10-27 |
| 1447850706 | Ondra L Little | Home Health Aide | 101 Saint George Blvd Apt 6t, Savannah, GA 31419-9348 | 2020-10-27 |
| 1063019834 | Latoya Marie Jones | Home Health Aide | 8185 Englewood Trl, Riverdale, GA 30274-4246 | 2020-10-05 |
| 1295342467 | Zinobia S Clark | Home Health Aide | 7412 Johnny Mercer Blvd # 1, Savannah, GA 31410-2434 | 2020-09-30 |
| 1407463383 | Aurora Uwase | Home Health Aide | 6437 Wood Cir W, Morrow, GA 30260-1732 | 2020-09-25 |
| 1750998506 | Shynalee Natividad Ayala | Home Health Aide | 410 Wesley Club Dr, Decatur, GA 30034-2328 | 2020-09-25 |
| 1558976050 | Denisha L Moss | Home Health Aide | 448 Harris Dr, Conyers, GA 30012-6516 | 2020-09-10 |
| 1548874548 | Terrance Argrow | Home Health Aide | 6304 Garrard Ave Ste B, Savannah, GA 31405-2737 | 2020-09-07 |
| Find all providers with the same taxonomy | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30088 |
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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.