DISTINCTIVELY YOURS OF GEORGIA, INC (NPI# 1760827190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760827190 |
| Entity Type | Organization |
| Organization Name | DISTINCTIVELY YOURS OF GEORGIA, INC |
| Practice Address |
8435 Magnolia Dr Jonesboro GA 30238-3132 |
| Practice Telephone | 7705070125 |
| Practice Fax Number | 7705079075 |
| Mailing Telephone | 6784799462 |
| Mailing Fax Number | 7705079075 |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2015-04-28 |
| Authorized Official Name | MS. CYNTHIA N WARNER (DIRECTOR/CEO) |
| Authorized Official Telephone | 7705070125 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003108953D | 05 | |
| GA | 003108953B | 05 | |
| GA | 003108953E | 05 |
| Street Address |
8435 MAGNOLIA DR |
| City | JONESBORO |
| State | GA |
| Zip Code | 30238-3132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366969636 | K&p Gentle Hnads Homecare | Home Health | 772 Pointe South Pkwy, Apt. 501, Jonesboro, GA 30238 | 2017-08-27 |
| 1568991214 | Rehab Medical, Inc | Durable Medical Equipment & Medical Supplies | 8568 Highway 85, Jonesboro, GA 30238 | 2017-06-07 |
| 1821472077 | Surgivue First Assisting | Nurse Practitioner | 5865 Sinclair Way, Jonesboro, GA 30238 | 2015-07-17 |
| 1518384106 | Visions of Life Behavioral Health Services, Incorporated | Counselor | 754 Chapman Street, Jonesboro, GA 30238 | 2014-03-21 |
| 1942560206 | Terri L Lee | Counselor | 7899 Waterwheel Way, Jonesboro, GA 30238 | 2012-05-21 |
| 1265704985 | Visiting Homecare Support Services, Inc. | Home Health | 10886 Tara Village Way, Jonesboro, GA 30238 | 2012-01-27 |
| 1518297175 | Heavenly Assisted Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10555 Aspenwood Ct, Jonesboro, GA 30238 | 2010-01-05 |
| 1649419821 | Carmen Melton Douglas | Speech-Language Pathologist | 10354 Shepperton Court, Jonesboro, GA 30238 | 2009-02-12 |
| 1205050259 | Caryn Ann Grzesiakowski | Chiropractor | 809 Flint River Road, Suite #4, Jonesboro, GA 30238 | 2007-04-12 |
| 1548325483 | Janet Musser Granski | Social Worker | 110 North Bend Court, Jonesboro, GA 30238 | 2006-12-22 |
| Find all providers in zip 30238 | ||||
| Taxonomy Code | 3104A0630X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Behavioral Disturbances |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689202681 | Pt Hills Place Terraces LLC | Assisted Living Facility | 229 Peachtree Hills Place, Atlanta, GA 30305 | 2020-03-27 |
| 1477180883 | A Certain Lad Ministries Inc. | Assisted Living Facility | 693 Shannon Way, Lawrenceville, GA 30044-6310 | 2020-03-25 |
| 1174067276 | Care of Latrelle, LLC | Assisted Living Facility | 127 Waverly Way, Savannah, GA 31407-5032 | 2016-12-07 |
| 1407191257 | Litchfield Homes LLC | Assisted Living Facility | 4925 Bridle Point Pkwy, Snellville, GA 30039-3343 | 2012-12-05 |
| 1104118108 | Beth'el Personal Care Home | Assisted Living Facility | 4327 Webb Meadows Dr, Loganville, GA 30052-7579 | 2011-05-09 |
| 1003117615 | The Mary Washington Assisted Living Home, Inc | Assisted Living Facility | 590 Mountain Oaks Pkwy, Stone Mountain, GA 30087-4732 | 2010-11-12 |
| 1114121845 | Lake Oconee Assisted Living Home | Assisted Living Facility | 105 Wilson St, Greensboro, GA 30642-1426 | 2007-06-14 |
| 1275898363 | Heavenly Arms Assisted Living | Assisted Living Facility | 11230 Highway 278 E, Covington, GA 30014-1673 | 2012-07-05 |
| 1508151176 | Georgia Residential and Community Healthcare, Inc | Assisted Living Facility | 5644 Hunters Crossing Ct, Lithonia, GA 30038-1529 | 2011-06-12 |
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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.