M EVELYN HOST HOME (NPI# 1851661193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851661193 |
| Entity Type | Organization |
| Organization Name | M EVELYN HOST HOME |
| Practice Address |
1761 Ridgecrest Dr Monroe GA 30655-5273 |
| Mailing Address |
250 North Ave Athens GA 30601-2244 |
| Practice Telephone | 7062251296 |
| Mailing Telephone | 7063896789 |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-01-04 |
| Authorized Official Name | GLENN BUTLER (BILLING MGR) |
| Authorized Official Telephone | 7063896789 |
| Is Organization Subpart | Y |
| Parent Organization Name | ABHS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
1761 RIDGECREST DR |
| City | MONROE |
| State | GA |
| Zip Code | 30655-5273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968149 | Coresa Hawanis Thomas | Counselor | Advantage Behavioral Health, 384 State Hwy 11 Sw, Walton, GA 30655 | 2020-10-06 |
| 1821629049 | Daniel A Hodges | Dentist | 1190 West Spring St, Suite A, Monroe, GA 30655 | 2020-01-27 |
| 1669019071 | Daniel Bradley Hodges | Dentist | 1190 W. Spring St, Monroe, GA 30655 | 2019-12-04 |
| 1861962730 | Danny Shoemake | Counselor | 2080 Highway 78 Nw, Monroe, GA 30655 | 2018-12-04 |
| 1205329687 | Advantage Behavioral Health Systems | Clinic/Center | 638 Michael Cir., Monroe, GA 30655 | 2018-06-11 |
| 1144722455 | Catherine Williams | Behavioral Analyst | 109 Blaine Street, Monroe, GA 30655 | 2018-03-02 |
| 1588186811 | Francette Dubuche Bernard | Nurse Practitioner | 398 Highway 11, Sw, Monroe, GA 30655 | 2017-07-07 |
| 1437699006 | Amanda Kaye Green | Nurse Practitioner | 517 Great Oaks Drive Suite 103, Monroe, GA 30655 | 2017-03-02 |
| 1639528524 | Matthew Bradford Allgood | Physical Therapist | 2120 W Spring St Ste 1500, Monroe, GA 30655 | 2016-06-10 |
| 1477939221 | Healthy Home Transitions | Social Worker | 506 S Broad Street, Monroe, GA 30655 | 2015-08-04 |
| Find all providers in zip 30655 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275989816 | Elite Care Services, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 134 E East Ave, Monroe, NC 28110-2848 | 2016-05-13 |
| 1780954024 | Glenwood Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1136b Springer Ln, Monroe, GA 30655-3303 | 2012-01-04 |
| 1356611693 | F Carey Host Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1609 Spring Hill Ct, Monroe, GA 30656-7201 | 2012-01-04 |
| 1124336235 | B & W Residential Care Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 902 Amber Trl, Monroe, GA 30655-8481 | 2010-09-23 |
| 1316132665 | Alpha and Omega Home Care Services of Monroe,inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 205 Evers St, Monroe, LA 71202-6908 | 2007-09-10 |
| 1063624625 | Fields De La Narurlae | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2828 Gay Dr, Monroe, LA 71202-6765 | 2007-05-04 |
| 1528182714 | G B Cooley Moore Rd | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 612 Moore Rd, Monroe, LA 71202-7447 | 2007-03-16 |
| 1639202617 | G B Cooley Services Walnut | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 113 Arkansas Ave, Monroe, LA 71201-6205 | 2007-03-13 |
| 1033241286 | G B Cooley Services Sue Drive | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 214 Sue Dr, Monroe, LA 71202-7536 | 2007-03-12 |
| 1740312933 | G B Cooley Services Latham | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 256 Latham Ln, Monroe, LA 71202-8565 | 2007-03-12 |
| Find all providers in MONROE | ||||
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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.