SHERMAINE DEMETRIC CLEVELAND (NPI# 1720690852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720690852 |
Entity Type | Individual |
Full Name | SHERMAINE DEMETRIC CLEVELAND |
Practice Address |
1508 Teakwood Dr Griffin GA 30223-1062 |
Practice Telephone | 6786345730 |
Mailing Telephone | 6786345730 |
Enumeration Date | 2020-08-19 |
Last Update Date | 2020-08-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 372600000X | Adult Companion | Nursing Service Related Providers |
Street Address |
1508 TEAKWOOD DR |
City | GRIFFIN |
State | GA |
Zip Code | 30223-1062 |
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 | 372600000X |
Grouping | Nursing Service Related Providers |
Classification | Adult Companion |
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548861156 | Angela Emanuel Morris | Adult Companion | 3805 Bayside Psge Nw, Acworth, GA 30101-4384 | 2020-11-02 |
1194330787 | Quanisha Aliyah Vera | Adult Companion | 3805 Nicoll Dr, Augusta, GA 30906-9242 | 2020-09-10 |
1780202960 | Shabaka Fletcher | Adult Companion | 901 Stoneview Trl Nw, Lilburn, GA 30047-7127 | 2020-07-14 |
1235747403 | Abundant Heart Healthcare Solution, LLC | Adult Companion | 6361 Talokas Lane, Ste C 140-279, Columbus, GA 31909 | 2020-07-14 |
1447878020 | Shanta Lafaye Watkins | Adult Companion | 103 Ashlund Dr, Centerville, GA 31028-1262 | 2020-07-09 |
1437775764 | The Maines Group, LLC | Adult Companion | The Maines Group, LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
1174146682 | Atrianon, LLC | Adult Companion | 9048 River Bend Ct, Villa Rica, GA 30180-4157 | 2020-05-19 |
1811518616 | Laquinta A Hutchins | Adult Companion | 7684 Bernardo Dr, Riverdale, GA 30296-7191 | 2020-05-03 |
1932737046 | Samagas House Org | Adult Companion | 1500 Mountain View Cirlcle, Conyers, GA 30014 | 2020-04-01 |
1962033563 | Keesha Mccloud | Adult Companion | 7674 Mountain Creek Way, Douglasville, GA 30134-3783 | 2020-02-01 |
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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.