SANDRA MAZO (NPI# 1831562297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831562297 |
| Entity Type | Individual |
| Full Name | SANDRA MAZO |
| Practice Address |
203 Van Nuys Blvd Savannah GA 31419-1341 |
| Practice Telephone | 9122280971 |
| Practice Fax Number | 9123760284 |
| Mailing Telephone | 9122280971 |
| Mailing Fax Number | 9123760284 |
| Enumeration Date | 2015-11-07 |
| Last Update Date | 2015-11-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
203 VAN NUYS BLVD |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31419-1341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922452986 | Favor of Favor LLC | Custodial Care Facility | 203 Van Nuys Blvd, Savannah, GA 31419-1341 | 2016-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932653 | Loving Hands Adult Care | Home Health Aide | 101 St. Goerge Blvd, 6t, Savannah, GA 31419 | 2020-11-03 |
| 1285241265 | Jennifer Ann Hales | Surgery | 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 | 2020-09-24 |
| 1699318139 | Jessica Kaitlyn Matthewson | Nurse Practitioner | 11700 Mercy Blvd Plaza D, Bldg #5, Savannah, GA 31419 | 2019-10-28 |
| 1679133219 | Rebecca Denise Brown-tuyishimire | Counselor | Savannah Outpatient Clinic, 1170 Shawnee Street, Savannah, GA 31419 | 2019-06-17 |
| 1356900856 | Julio Roberto Castellanos Jr. | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419 | 2019-06-07 |
| 1669941761 | Paul-david Arthur Cooper | Peer Specialist | 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 | 2018-11-19 |
| 1326538521 | Jay Carter Jr. | Social Worker | 1170 Shawnee St., Savannah, GA 31419 | 2018-05-14 |
| 1245771070 | Emily Robertson | Nurse Practitioner | 11133 Abercorm Street, Suite 10, Savannah, GA 31419 | 2017-03-13 |
| 1760833750 | Cady-jo Steidle | Behavioral Analyst | 143 Sugar Mill Cir, Savannah, GA 31419 | 2016-06-30 |
| 1265881189 | Mallory Williams | Physician Assistant | 11909 D. Mcauley Drive, Savannah, GA 31419 | 2016-06-10 |
| Find all providers in zip 31419 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366050320 | Lilliemae Home Care LLC | In Home Supportive Care | 31 Leon Village Dr, Savannah, GA 31408-2703 | 2020-07-16 |
| 1184250631 | Angel Care Home Care LLC | In Home Supportive Care | 108 Ristona Dr, Savannah, GA 31419-6234 | 2020-03-17 |
| 1992336788 | Your Choice Personal Assisting LLC | In Home Supportive Care | 8410 Abercorn St Ste A, Savannah, GA 31406-3488 | 2020-01-30 |
| 1831732882 | Surely Comfort Cares LLC. | In Home Supportive Care | 250 Fontenot Dr, Savannah, GA 31405-9458 | 2019-10-22 |
| 1871142117 | Open Arms Professional Care, LLC | In Home Supportive Care | 7316 Grant St, Savannah, GA 31406-5149 | 2019-09-09 |
| 1942762281 | Priceless Coastal Homecare, LLC. | In Home Supportive Care | 355 Commercial Dr Ste A, Savannah, GA 31406-3619 | 2019-04-04 |
| 1396237632 | Better Days Living | In Home Supportive Care | 5 S Quail Xing, Savannah, GA 31419-1254 | 2018-06-02 |
| 1366949083 | Shakeira Wright | In Home Supportive Care | 3 Marshall Ct, Savannah, GA 31406-4432 | 2018-04-09 |
| 1770930125 | Caerkillian Ga LLC | In Home Supportive Care | 6206 Waters Ave, Unit 306, Savannah, GA 31406-2708 | 2016-05-16 |
| 1710349972 | Fellowship Health Care LLC. | In Home Supportive Care | 6205 Abercorn St Ste 101, Savannah, GA 31405-5540 | 2016-03-25 |
| Find all providers in SAVANNAH | ||||
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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.