TEDLA-KEBEDE CORP (NPI# 1881824928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881824928 |
| Entity Type | Organization |
| Organization Name | TEDLA-KEBEDE CORP |
| Other Organization Name | NIRVANA HOME HEALTH CARE SVCS |
| Practice Address |
3424 Old Suttons Way Marietta GA 30062-4187 |
| Practice Telephone | 4048611411 |
| Mailing Telephone | 4048611411 |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2009-07-23 |
| Authorized Official Name | MR. WOUBSHET TEDLA (PRESIDENT) |
| Authorized Official Telephone | 4048611411 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Nirvana Home Health Care Svcs | Doing Business As Name - Organization |
| Street Address |
3424 OLD SUTTONS WAY |
| City | MARIETTA |
| State | GA |
| Zip Code | 30062-4187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1932714680 | Michelle Chambless | Physical Therapist | Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 | 2020-09-10 |
| 1700408887 | Life University | Chiropractor | 1323 Roswell Road, Marietta, GA 30062 | 2020-05-12 |
| 1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
| 1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
| 1073159034 | Magdala Tulcie Jodesty-jackson | Social Worker | 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 | 2019-11-25 |
| 1598235178 | Matthew Driggers | Counselor | 4343 Shallowford Rd C2, Marietta, GA 30062 | 2018-11-27 |
| 1750895785 | Emily Grace Minday | Counselor | 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 | 2017-11-29 |
| 1477072122 | Jason Lee Amos | Speech-Language Pathologist | 3660 Chestnut Ridge Court, Marietta, GA 30062 | 2017-09-13 |
| 1346761376 | Marian Pomaah Opoku-agyeman | Nurse Practitioner | 4661 Andrea Pointe, Marietta, GA 30062 | 2017-06-29 |
| Find all providers in zip 30062 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043576812 | Call To Arm | Nursing Facility/Intermediate Care Facility | 4066 Christacy Way, Marietta, GA 30066-2786 | 2012-04-06 |
| 1144202417 | Marietta Area Health Inc | Nursing Facility/Intermediate Care Facility | 401 Harmar St, Marietta, OH 45750-2732 | 2005-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861937187 | Organnizer | Nursing Facility/Intermediate Care Facility | 2320 Highway 20 Se, Conyers, GA 30013-2426 | 2016-12-22 |
| 1508228370 | Correcthealth Gdc, LLC | Nursing Facility/Intermediate Care Facility | 1 Bostick Cir, Milledgeville, GA 31062-7526 | 2016-03-22 |
| 1760856645 | 363l00000x | Nursing Facility/Intermediate Care Facility | 2171 Peachtree Rd Ne, Apt 306, Atlanta, GA 30309-6300 | 2015-11-16 |
| 1568846798 | Your Elite Companion Sitting and Healthcare Services | Nursing Facility/Intermediate Care Facility | 3235 Satellite Blvd, Bldg 400 Suite 300, Duluth, GA 30096-8687 | 2015-07-17 |
| 1194141549 | Hospital Authority of Valdosta and Lowndes County, Georgia | Nursing Facility/Intermediate Care Facility | 120 W Thigpen Ave, Lakeland, GA 31635-1011 | 2014-03-10 |
| 1255768024 | Department of Juvenile Justice | Nursing Facility/Intermediate Care Facility | 450 Crescent Dr, Gainesville, GA 30501-5079 | 2013-10-10 |
| 1164642484 | Skidaway Health and Living Services, Inc. | Nursing Facility/Intermediate Care Facility | 95 Skidaway Island Park Rd, Savannah, GA 31411-1104 | 2007-04-27 |
| 1780798314 | Va Hospital | Nursing Facility/Intermediate Care Facility | 7264 Madison Circle, Union City, GA 30291 | 2006-08-19 |
| 1366461857 | Evans Memorial Hospital, Inc. | Nursing Facility/Intermediate Care Facility | 721 N Downing Musgrove Hwy, Glennville, GA 30427-2208 | 2006-07-18 |
| 1528000825 | Acts Retirement-life Communities, Inc. | Nursing Facility/Intermediate Care Facility | 4000 Village View Dr, Gainesville, GA 30506-4331 | 2006-06-12 |
| Find all providers with the same taxonomy | ||||
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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.