DEKALB COUNTY BOARD OF HEALTH (NPI# 1750488052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750488052 |
| Entity Type | Organization |
| Organization Name | DEKALB COUNTY BOARD OF HEALTH |
| Other Organization Name | EAST TEEN CENTER |
| Practice Address |
2612 Max Cleland Blvd Ste A Lithonia GA 30058-4400 |
| Mailing Address |
445 Winn Way Po Box 987 Decatur GA 30030-1707 |
| Practice Telephone | 6785265429 |
| Practice Fax Number | 6785265434 |
| Mailing Telephone | 4042943701 |
| Mailing Fax Number | 4045087862 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SANDRA E BOUCHELION (DISTRICT DIRECTOR/CEO) |
| Authorized Official Telephone | 4042943787 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| Other Name | Type Code |
|---|---|
| East Teen Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154428985 | Dekalb County Board of Health | Public Health or Welfare | 2006 Hosea Williams Dr., Atlanta, GA 30317 | 2006-09-20 |
| 1750481982 | Dekalb County Board of Health | Public Health or Welfare | 440 Winn Way, Decatur, GA 30030-1715 | 2006-09-25 |
| 1548366685 | Dekalb County Board of Health | Supports Brokerage | 30 Warren St Se, Atlanta, GA 30317-2267 | 2006-09-16 |
| 1427154483 | Dekalb County Board of Health | Public Health or Welfare | 2801 Candler Rd, Suite 67, Decatur, GA 30034-1423 | 2006-09-16 |
| 1053417105 | Dekalb County Board of Health | Clinic/Center | 3807 Clairmont Rd, Chamblee, GA 30341-4911 | 2006-09-16 |
| 1003912155 | Dekalb County Board of Health | Supports Brokerage | 2277 Stone Mountain Lithonia Rd, Lithonia, GA 30058-5252 | 2006-09-16 |
| 1356447411 | Dekalb County Board of Health | Supports Brokerage | 3110 Clifton Springs Rd, Decatur, GA 30034-4600 | 2006-09-16 |
| 1992801021 | Dekalb County Board of Health | Public Health or Welfare | 445 Winn Way, Ste 150, Decatur, GA 30030-1707 | 2006-09-16 |
| Street Address |
2612 MAX CLELAND BLVD STE A |
| City | LITHONIA |
| State | GA |
| Zip Code | 30058-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982789293 | Cindy Jo-ann Bowen | Nurse Practitioner | 2612 Max Cleland Blvd Ste A, Lithonia, GA 30058-4400 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821603606 | Sherenda Lashawn Ellis | Contractor | 1859 Petite Lane, Lithonia, GA 30058 | 2020-09-09 |
| 1477186807 | Reset Recovery Health Center LLC | Substance Abuse Rehabilitation Facility | 6978 Main St, Lithonia, GA 30058 | 2020-02-13 |
| 1346726122 | Myorganics | Spec/Tech, Pathology | 5910 Shadow Rock Dr, Lithonia, GA 30058 | 2018-07-16 |
| 1699251884 | Enriching Medical Transport | Ambulance | 2260 Lithonia Industrial Blvd., Ste N-b, Lithonia, GA 30058 | 2018-07-11 |
| 1841789914 | Milner Vein and Vascular LLC | Surgery | 5700 Hillandale Dr Ste 150, Lithonia, GA 30058 | 2018-05-04 |
| 1215451265 | Brittany Rawlings | Home Health | 6127 Howell Ridge, Lithonia, GA 30058 | 2017-08-01 |
| 1982125571 | Bella Intellectum, LLC | Technician/Technologist | 6803 Edmonton Ct., Lithonia, GA 30058 | 2017-07-05 |
| 1528589397 | Arlene Dennis | Registered Nurse | 6022 Arnor Links Road, Lithonia, GA 30058 | 2017-07-03 |
| 1417401746 | Two Caring Hands Private Home Care | Home Health | 1959 Singers Way, Lithonia, GA 30058 | 2016-08-03 |
| 1518347467 | Ortho Injury and Wellness Center Inc. | Clinic/Center | 6148 A Covington Hwy, Lithonia, GA 30058 | 2015-06-05 |
| Find all providers in zip 30058 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659677763 | Tiffany Brown | Public Health or Welfare | 7547 Mountain Creek Blf, Lithonia, GA 30058-2922 | 2011-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073136990 | Middle Flint Area Community Service Board | Public Health or Welfare | 106 W Furlow St, Americus, GA 31709-4110 | 2020-05-27 |
| 1023645728 | Emanuel County Board of Health | Public Health or Welfare | 50 Ga Highway 56 N, Swainsboro, GA 30401-4441 | 2020-03-24 |
| 1508498544 | Benard & Romulus LLC | Public Health or Welfare | 917 Revere Way, Hampton, GA 30228-5969 | 2020-02-07 |
| 1770142309 | Region 14 Department of Family and Children Services | Public Health or Welfare | 178 Sams St, Decatur, GA 30030-4134 | 2019-06-07 |
| 1700442753 | Region Xi Field Fiscal Office | Public Health or Welfare | 1400 Peterson Ave N Ste D, Douglas, GA 31533-2833 | 2019-05-15 |
| 1841856242 | Dfcs Region Ix | Public Health or Welfare | 904 Claxton Dairy Rd, Dublin, GA 31021-5423 | 2019-05-13 |
| 1740750181 | Cherokee County Health Department | Public Health or Welfare | 7545 Main St Bldg 100, Woodstock, GA 30188-1615 | 2018-11-28 |
| 1396211694 | Everybody Vs Cancer Foundation | Public Health or Welfare | 5040 Snapfinger Woods Dr Ste 201c, Decatur, GA 30035-4020 | 2018-10-15 |
| 1760963482 | Esther Natacha Lafontant | Public Health or Welfare | 3205 Maple Terrace Drive, Suwanee, GA 30024 | 2018-08-22 |
| 1538652425 | Tiffany Baggett | Public Health or Welfare | 1650 Barnes Mill Rd Apt 223, Marietta, GA 30062-7553 | 2018-06-14 |
| 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.