ATLANTA NURSING HOMES INC (NPI# 1811035124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811035124 |
Entity Type | Organization |
Organization Name | ATLANTA NURSING HOMES INC |
Other Organization Name | DBA GOLDEN VILLA |
Practice Address |
1104 S William St Atlanta TX 75551-3246 |
Practice Telephone | 9037960290 |
Practice Fax Number | 9037963976 |
Mailing Telephone | 9037960290 |
Mailing Fax Number | 9037963976 |
Enumeration Date | 2007-02-01 |
Last Update Date | 2008-12-15 |
Authorized Official Name | MR. LEONARD M. JESTER (ADMINISTRATOR) |
Authorized Official Telephone | 9037960290 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3140N1450X |
Skilled Nursing Facility Specialization: Nursing Care, Pediatric |
117876 | TX | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 000437602 | 05 |
Other Name | Type Code |
---|---|
DBA Golden Villa | Doing Business As Name - Organization |
Street Address |
1104 S WILLIAM ST |
City | ATLANTA |
State | TX |
Zip Code | 75551-3246 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326511346 | Lydia Downs | Occupational Therapy Assistant | 1104 S William St, Atlanta, TX 75551-3246 | 2019-01-03 |
1285107227 | April Dunn Poston | Physical Therapy Assistant | 1104 S William St, Atlanta, TX 75551-3246 | 2019-01-02 |
1588137517 | Rose Felicia Matthews | Occupational Therapy Assistant | 1104 S William St, Atlanta, TX 75551-3246 | 2019-01-02 |
1588136493 | Matthew Allen Coats | Physical Therapy Assistant | 1104 S William St, Atlanta, TX 75551-3246 | 2018-12-18 |
1972084143 | Kayla Marie Stanley | Occupational Therapy Assistant | 1104 S William St, Atlanta, TX 75551-3246 | 2018-08-27 |
1447521943 | Golden Villa Healthcare LLC | Skilled Nursing Facility | 1104 S William St, Atlanta, TX 75551-3246 | 2012-01-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346879921 | Wendy Sue Willoughby | Pharmacy Technician | 201 Us Hwy 59, Atlanta, TX 75551 | 2020-04-06 |
1689154759 | Bobbye Francene Rankin | Physical Therapy Assistant | 109 Cr 3544, Atlanta, TX 75551 | 2018-08-18 |
1447668538 | Winnie-stowell Hospital District | Skilled Nursing Facility | 1104 S. William Street, Atlanta, TX 75551 | 2014-08-01 |
1912176983 | Glenna B Frost | Speech-Language Pathologist | 1001 West Main Street, Atlanta, TX 75551 | 2008-02-25 |
1043438823 | Shelia Kaye Langbartels | Optometrist | 201 Hwy. 59 South, Atlanta, TX 75551 | 2007-04-24 |
1598838583 | Tim C Hogan | Dentist | 402 S William St, Hogan Dental Clinic, Atlanta, TX 75551 | 2006-11-16 |
1003991290 | Jimmy Glenn Stillwell | Nurse Anesthetist, Certified Registered | 1007 S Williams, Atlanta Memorial Hospital, Atlanta, TX 75551 | 2006-10-26 |
1336248376 | Miles Drug Company | Pharmacist | 122 N East St, Atlanta, TX 75551 | 2006-09-22 |
1417050667 | Danny Warren Addington | Dentist | 307 East Hiram, Atlanta, TX 75551 | 2006-09-06 |
1912917899 | Atlanta Nursing Homes Inc. | Skilled Nursing Facility | 200 Live Oak, Atlanta, TX 75551 | 2006-08-09 |
Find all providers in zip 75551 |
Taxonomy Code | 3140N1450X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Skilled Nursing Facility |
Specialization | Nursing Care, Pediatric |
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720699499 | Ez Healthcare Incorporated | Skilled Nursing Facility | 115 N 23rd St # 104a, Beaumont, TX 77707-2405 | 2020-08-14 |
1467992065 | Elizabeth Evbuomwan | Skilled Nursing Facility | 5601 Bonhomme Rd Ste B2, Houston, TX 77036-2044 | 2017-03-01 |
1376914275 | Dorothy Buggage | Skilled Nursing Facility | 2320 Utica Dr, Dallas, TX 75227-8744 | 2015-10-18 |
1003206202 | Community Prescribed Pediatric Extended Day Care Inc | Skilled Nursing Facility | 2918 N Richmond Rd, Wharton, TX 77488-2006 | 2015-01-27 |
1154728590 | Lavern Washington Humphries | Skilled Nursing Facility | 8521 Sage Meadow Dr, Temple, TX 76502-5041 | 2014-12-01 |
1255760146 | Always Able Home Helper Service, LLC | Skilled Nursing Facility | 916 Shoal Creek Dr, Arlington, TX 76001-7481 | 2013-11-01 |
1508127325 | Mdtj Caregivers,llc | Skilled Nursing Facility | 11707 Evesborough Dr, Houston, TX 77099-1907 | 2012-06-07 |
1023384138 | Teen Health Center, Inc. | Skilled Nursing Facility | 1514 Avenue N 1/2, Room#172, Galveston, TX 77550-8135 | 2012-03-23 |
1285919613 | Cna Health Care Services Inc. | Skilled Nursing Facility | 9100 Sw Fwy Ste 101, Houston, TX 77074-1523 | 2011-10-17 |
1881974103 | Jovic Homecare System, Inc. | Skilled Nursing Facility | 10103 Fondren Rd Ste 420, Houston, TX 77096-4668 | 2011-08-17 |
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.