MOORE, SHARLENE'S PERSONAL CARE HOME, INC. (NPI# 1811248842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811248842 |
| Entity Type | Organization |
| Organization Name | MOORE, SHARLENE'S PERSONAL CARE HOME, INC. |
| Practice Address |
1401 Belcher Lane Bainbridge GA 39818-8327 |
| Practice Telephone | 2292485955 |
| Practice Fax Number | 2292488614 |
| Mailing Telephone | 2292485955 |
| Mailing Fax Number | 2292488614 |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-10-01 |
| Authorized Official Name | MRS. SHARLENE JOYCE MOORE (CEO) |
| Authorized Official Telephone | 2292485955 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | CLA001018 | GA | Residential Treatment Facilities |
| Street Address |
1401 BELCHER LANE |
| City | BAINBRIDGE |
| State | GA |
| Zip Code | 39818-8327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174735765 | Leslie Ann Dellenbarger | Psychologist | 231 Bruton Street, Bainbridge, GA 39818 | 2007-05-04 |
| 1962615831 | Alta Ann Holton | Social Worker | 231 Bruton Street, Bainbridge, GA 39818 | 2007-05-08 |
| 1750346102 | Jimmy F Maxwell Dmd PC | Dentist | 500 Amelia Avenue, Bainbridge, GA 39818-0727 | 2006-04-19 |
| 1659399731 | Clarence Edward Bush | Dentist | 144 Whigham Dairy Road, Bainbridge, GA 39818-0878 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962811 | Rachel Brett Higgins | Home Health | 900 Harris Station Rd, Bainbridge, OH 45612-9734 | 2020-11-03 |
| 1912514944 | Cheryl A Taylor | Home Health | 4488 Spargursville Rd, Bainbridge, OH 45612-9717 | 2020-09-24 |
| 1669088795 | Port City Medical Associates Inc | Clinic/Center | 931 S West St, Bainbridge, GA 39819-4543 | 2020-09-23 |
| 1689287641 | Lydia Gennie | Licensed Practical Nurse | 1004 Shoreline Dr, Bainbridge, GA 39817-8393 | 2020-08-28 |
| 1952910820 | Crosby T Steen | Registered Nurse | 535 S Scott St, Bainbridge, GA 39819-4101 | 2020-07-27 |
| 1154946028 | Kristen Elizabeth Ayers | Counselor | 4413 Greenbriar Rd, Bainbridge, OH 45612-9649 | 2020-06-16 |
| 1063045664 | Rachel Lauren Decker | Licensed Practical Nurse | 115 Robinson Rd, Bainbridge, NY 13733-3422 | 2020-02-21 |
| 1932731361 | Port Medical Management Inc | Nurse Practitioner | 920 S West St, Bainbridge, GA 39819-4581 | 2020-02-04 |
| 1376173906 | Rural Urgent Care LLC | Clinic/Center | 1408 Tallahassee Hwy Ste Z, Bainbridge, GA 39819-7791 | 2020-01-23 |
| 1598303323 | Shanna Senior | Home Health | 416 N West St, Bainbridge, GA 39817-3678 | 2019-12-11 |
| Find all providers in BAINBRIDGE | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385862 | Hickory Log Vocational School Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3680 Highway 411 Ne, White, GA 30184-2427 | 2020-10-28 |
| 1801403050 | Safe Haven Personal Care Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10875 Abercorn St Apt 132, Savannah, GA 31419-1843 | 2020-09-30 |
| 1659987931 | Pinkies Place | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 216 Self St, Warner Robins, GA 31088-5506 | 2020-09-22 |
| 1629680293 | Caregiver Ga, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3736 Executive Center Dr Ste B, Augusta, GA 30907-2360 | 2020-08-17 |
| 1730799073 | Victory Won Counseling and Res Care Prof. Corp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5014 Snapfinger Woods Dr, Decatur, GA 30035-4003 | 2020-08-02 |
| 1811528649 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 211 North Street, Douglas, GA 31533 | 2020-01-30 |
| 1619519709 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 516 Freedom Trl, Brunswick, GA 31525-4712 | 2019-10-10 |
| 1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
| 1467013821 | Csb of East Central Ga | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5101 Parnell Way, Martinez, GA 30907-8896 | 2019-06-26 |
| 1013474915 | Community Service Board of East Central Georgia | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1715 Lawerence Rd, Hephzibah, GA 30815-4445 | 2019-02-27 |
| Find all providers with the same taxonomy | ||||
| City | BAINBRIDGE |
| Zip Code | 39818 |
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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.