HEALTH CARE OF BERRIEN COUNTY (NPI# 1821085820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821085820 |
| Entity Type | Organization |
| Organization Name | HEALTH CARE OF BERRIEN COUNTY |
| Other Organization Name | GEORGIA HOME HEALTH SERVICES |
| Practice Address |
3404 Greystone Way Valdosta GA 31605 |
| Practice Telephone | 2292474663 |
| Practice Fax Number | 2292471724 |
| Mailing Telephone | 2292474663 |
| Mailing Fax Number | 2292471724 |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WILLIAM AL HIERS (ADMINISTRATOR) |
| Authorized Official Telephone | 2292474663 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 092107 | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00335057A | 05 | |
| GA | BCBS PROVIDER NUMBER | 51004708001 | 01 |
| Other Name | Type Code |
|---|---|
| Georgia Home Health Services | Doing Business As Name - Organization |
| Street Address |
3404 GREYSTONE WAY |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484718 | Mckenna Kristine Bachmann | Specialist/Technologist | Moody Air Force Base, Valdosta, GA 31605 | 2020-07-14 |
| 1376056366 | Michael Brent Robinson Sr. | Contractor | 3863 Camellia Dr., Valdosta, GA 31605 | 2017-11-13 |
| 1679013452 | Baptist Specialty Physicians Inc | Pediatrics | 3301 N Oak St Ext, Valdosta, GA 31605 | 2017-02-28 |
| 1649683541 | Dustin Ross Kilby | Dentist | 2704 Oak Center Dr, Valdosta, GA 31605 | 2014-06-09 |
| 1659643286 | Brittnaey Nicole Freeman | Behavioral Analyst | 3982 Karaline Cir, Valdosta, GA 31605 | 2012-01-27 |
| 1780970335 | Laura Christen Cribbs | Counselor | 3312-d N Oak Street Ext, Valdosta, GA 31605 | 2011-06-22 |
| 1992090633 | Mary Katelyn Harper | Pharmacist | 3200 North Oak Street, Valdosta, GA 31605 | 2011-06-10 |
| 1053532937 | Robert Mark Pearson | Dentist | 3227 N. Oak St. Ext., Valdosta, GA 31605 | 2007-05-01 |
| 1083838650 | Am Sleep Diagnostics and Research Center | Clinic/Center | 3334 Greyatone Way, Valdosta, GA 31605 | 2007-04-12 |
| 1831236181 | William Ashley Moorman | Dentist | Advanced Dental Care, 3211 Wildwood Plantation Drive, Valdosta, GA 31605 | 2007-01-30 |
| Find all providers in zip 31605 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588200059 | Southern Home Care Services, Inc. | Home Health | 2318 N Patterson St, Valdosta, GA 31602-2511 | 2019-11-20 |
| 1912549916 | Dekoya Wallace-adams | Home Health | 1804 E Park Ave, Valdosta, GA 31602-4414 | 2019-10-10 |
| 1538654173 | Sandra Denise Smith Jones | Home Health | 704 Lake Park Rd, Valdosta, GA 31601-6195 | 2018-06-26 |
| 1376038042 | Restoration Care Services, LLC | Home Health | 704 Lake Park Road, Valdosta, GA 31601 | 2018-06-26 |
| 1033580907 | Tmh Home & Wellness LLC | Home Health | 528 N Troup St, Valdosta, GA 31601-4734 | 2015-10-16 |
| 1154737559 | Guardian In-home Care, LLC | Home Health | 3647 Druid Oaks Dr, Valdosta, GA 31605-6545 | 2014-07-07 |
| 1336493550 | Spectrum Family Care LLC | Home Health | 3403 Bemiss Rd, Suite C, Valdosta, GA 31605-7062 | 2012-11-09 |
| 1518195866 | Southern Home Care Services, Inc. | Home Health | 3020 N Patterson St, Valdosta, GA 31602-1711 | 2009-06-25 |
| 1780790022 | Southern Home Care Services | Home Health | 1700 E Park Ave, Valdosta, GA 31602-3400 | 2006-08-21 |
| 1285648568 | Public Health Home Health, Inc. | Home Health | 3169 Inner Perimeter Rd, Valdosta, GA 31602-1062 | 2006-07-29 |
| Find all providers in VALDOSTA | ||||
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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.