RAVIK FOUNDATION INC. (NPI# 1871131813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871131813 |
| Entity Type | Organization |
| Organization Name | RAVIK FOUNDATION INC. |
| Practice Address |
1343 Business Center Dr Sw Ste B Conyers GA 30094-6609 |
| Mailing Address |
4715 Cleveland Rd Lithonia GA 30038-2610 |
| Practice Telephone | 8555872845 |
| Mailing Telephone | 6784622577 |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2020-01-06 |
| Authorized Official Name | JARED JEFFRIES (OWNER) |
| Authorized Official Telephone | 6784622577 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 171WH0202X |
Contractor Specialization: Home Modifications |
Other Service Providers | ||
| N | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2083S0010X |
Preventive Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Street Address |
1343 BUSINESS CENTER DR SW STE B |
| City | CONYERS |
| State | GA |
| Zip Code | 30094-6609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029054 | Darlene Fletcher | Counselor | 827 St. Clair Dr., Conyers, GA 30094 | 2020-10-05 |
| 1194363366 | Clara A Matthews | Physician Assistant | 1930 Windsor Creek Drive Sw, Conyers, GA 30094 | 2019-12-18 |
| 1659838571 | Sensitive Home Care Agency Inc. | PACE Provider Organization | 2225 Morning Dew, Conyers, GA 30094 | 2019-02-27 |
| 1679097992 | Sheira Dennis | Case Management | 3828 Martingale Dr Se, Conyers, GA 30094 | 2017-07-28 |
| 1730571399 | Wellness and Trauma Recovery Center | Counselor | 1775 Parker Rd. Building C, Suite 210, Conyers, GA 30094 | 2015-02-19 |
| 1760870612 | Michael Terrell | Technician/Technologist | 806 Cambridge Creek Dr, Conyers, GA 30094 | 2014-12-30 |
| 1538567466 | Jennifer Angela Johnson | Registered Nurse | 2240 Wren Rd Se, Conyers, GA 30094 | 2014-12-09 |
| 1225445208 | Wanda Marcella Rainey-reed | Counselor | 1453 Klondike Rd Sw Ste D, Conyers, GA 30094 | 2014-07-22 |
| 1508155268 | Nicklaus Trent Rice | Obstetrics & Gynecology | 2750 Owens Dr, Conyers, GA 30094 | 2011-04-04 |
| 1720219660 | Candace Alexander | Dentist | 863 Flat Shoals Rd Se, Suite C #220, Conyers, GA 30094 | 2009-07-27 |
| Find all providers in zip 30094 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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|---|---|---|---|---|
| 1962774083 | Helping Hands Computer Outreach | Clinic/Center | 1733 Lake Rockaway Rd Nw, Conyers, GA 30012-3152 | 2012-02-05 |
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| 1275178683 | Lezthon Homecare Inc | Clinic/Center | 2884 Snapfinger Mnr, Decatur, GA 30035-4167 | 2019-11-08 |
| 1023650231 | Tony Moses | Clinic/Center | 4650 Dawn Ct, Columbus, GA 31907-6655 | 2019-10-09 |
| 1174183172 | Your Choice Home Care LLC | Clinic/Center | 3326 Madison Ridge Trl, Snellville, GA 30039-6815 | 2019-06-20 |
| 1700357878 | The Shafiq Group | Clinic/Center | 910 Athens Hwy Ste K245, Loganville, GA 30052-4952 | 2018-12-16 |
| 1518477157 | Choosing Independence Inc | Clinic/Center | 115 Martin Luther King Jr Dr Sw Ste 225-102, Atlanta, GA 30303-3536 | 2017-10-10 |
| 1295256857 | Brittany Carter Lcsw LLC | Clinic/Center | 5000 Austell Powder Springs Rd Ste 283-1, Austell, GA 30106-2442 | 2017-07-03 |
| 1922539725 | Mpowerr Health & Wellness of Atlanta Inc. | Clinic/Center | 3616 Ginnis Rd Sw Unit 2, Atlanta, GA 30331-8574 | 2017-03-23 |
| 1093172652 | M D Whitest Medical Institute Inc | Clinic/Center | 401 N 15th St, Cordele, GA 31015-2932 | 2016-01-26 |
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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.