ENABLE OF GEORGIA, INC. (NPI# 1902232598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902232598 |
| Entity Type | Organization |
| Organization Name | ENABLE OF GEORGIA, INC. |
| Practice Address |
1200 Old Ellis Rd Roswell GA 30076-3850 |
| Practice Telephone | 7706644347 |
| Practice Fax Number | 7707400650 |
| Mailing Telephone | 7706644347 |
| Mailing Fax Number | 7707400650 |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2013-09-17 |
| Authorized Official Name | DR. HARRY STERN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7706644347 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| Street Address |
1200 OLD ELLIS RD |
| City | ROSWELL |
| State | GA |
| Zip Code | 30076-3850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
| Find all providers in zip 30076 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326586744 | Hand-n-hand PCh Inc. | Intermediate Care Facility, Mentally Retarded | 125 Janette Ln, Moultrie, GA 31788-7837 | 2017-02-06 |
| 1326392432 | Extending Community Services Foundation | Intermediate Care Facility, Mentally Retarded | 3630 Emerald Pt, Decatur, GA 30034-5739 | 2012-10-29 |
| 1639441421 | Smith Personal Care Home 1and 2 Inc | Intermediate Care Facility, Mentally Retarded | 309 Advance St, Swainsboro, GA 30401-3675 | 2012-02-08 |
| 1609146109 | Rainbow Ridge#2,inc. | Intermediate Care Facility, Mentally Retarded | 181 Rainbow Rdg, Swainsboro, GA 30401-4413 | 2011-12-31 |
| 1427336346 | Tranquility PCh, LLC | Intermediate Care Facility, Mentally Retarded | 3440 Rainbow Dr, Decatur, GA 30034-1807 | 2011-07-26 |
| 1225358856 | 'a' Helping Hand, Inc. | Intermediate Care Facility, Mentally Retarded | 439 Watson Bay, Stone Mountain, GA 30087-6195 | 2010-06-05 |
| 1427378058 | Precious Living Incorporated | Intermediate Care Facility, Mentally Retarded | 448 Registry Blf, Stone Mountain, GA 30087-6602 | 2010-06-05 |
| 1720318843 | Allgood Manor Assistant Home Inc. | Intermediate Care Facility, Mentally Retarded | 6358 Deshong Dr, Lithonia, GA 30058-6123 | 2010-01-12 |
| 1275863383 | Bryana Personal Care Home | Intermediate Care Facility, Mentally Retarded | 6276 Field Glen Rd, Stone Mountain, GA 30087-4911 | 2010-01-12 |
| 1053540260 | Nue Beginnings Residence Home Inc | Intermediate Care Facility, Mentally Retarded | 5183 Suggs St, Powder Springs, GA 30127-3029 | 2009-07-09 |
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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.