4 SEASONS HOME CARE, INC. (NPI# 1871112342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871112342 |
| Entity Type | Organization |
| Organization Name | 4 SEASONS HOME CARE, INC. |
| Practice Address |
78 Cole St Ne Ste 100 Marietta GA 30060-2020 |
| Practice Telephone | 7704195652 |
| Practice Fax Number | 7704198587 |
| Mailing Telephone | 7704195652 |
| Mailing Fax Number | 7704198587 |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-04-14 |
| Authorized Official Name | LOU ANN THOMBLEY (OWNER) |
| Authorized Official Telephone | 7704195652 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
78 COLE ST NE STE 100 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-2020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| 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 |
|---|---|---|---|---|
| 1902415391 | Pure Guardian Care LLC | In Home Supportive Care | 2599 Candler Way Sw, Marietta, GA 30064-4270 | 2020-07-30 |
| 1982221693 | North Fulton Medical Consultants | In Home Supportive Care | 3162 Johnson Ferry Rd Ste 260-425, Marietta, GA 30062-7604 | 2020-06-29 |
| 1619598257 | Truvita Corp. | In Home Supportive Care | 324 Cherokee St Ne, Marietta, GA 30060-1389 | 2020-05-06 |
| 1982161642 | Sunrise Horizons, LLC | In Home Supportive Care | 3724 Langley Oaks Pl Se, Marietta, GA 30067-4978 | 2019-02-28 |
| 1285119693 | Precious Angel Home Care Services Inc | In Home Supportive Care | 2470 Windy Hill Rd Se Ste 253, Marietta, GA 30067-8619 | 2018-10-02 |
| 1720561020 | Tripmar Enterprises Inc | In Home Supportive Care | 2000 First Dr Ste 320, Marietta, GA 30062-7741 | 2018-09-12 |
| 1386159408 | Better At Home LLC | In Home Supportive Care | 732 Kennesaw Ave Nw Ste 250, Marietta, GA 30060-9406 | 2017-12-12 |
| 1538681994 | Passionate Care | In Home Supportive Care | 1110 Renfro Ln., Marietta, GA 30066 | 2017-07-07 |
| 1619339793 | Jack Redmond Home Care Inc. | In Home Supportive Care | 1000 Whitlock Ave Nw Ste 320, Marietta, GA 30064-5449 | 2016-03-28 |
| 1952774408 | Du Monde Care Professionals | In Home Supportive Care | 3237 Hembree Ct, Marietta, GA 30062-4219 | 2015-11-05 |
| Find all providers in MARIETTA | ||||
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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.