STATEWIDE HEALTHCARE, INC (NPI# 1902961741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902961741 |
| Entity Type | Organization |
| Organization Name | STATEWIDE HEALTHCARE, INC |
| Practice Address |
102 Oglethorpe Professional Ct Suite 4 Savannah GA 31406-3600 |
| Practice Telephone | 9122318958 |
| Mailing Telephone | 9122318958 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2011-04-06 |
| Authorized Official Name | J. CRAIG GORDON (CEO) |
| Authorized Official Telephone | 9122318958 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 621610 | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000510529B | 05 | |
| GA | 000510243C | 05 | |
| GA | 000621288A | 05 | |
| GA | 000510243B | 05 | |
| GA | 000510243D | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780740506 | Statewide Healthcare, Inc | Clinic/Center | 714 Martin Luther King Jr Blvd, Suit 100, Savannah, GA 31401-5570 | 2006-12-28 |
| Street Address |
102 OGLETHORPE PROFESSIONAL CT SUITE 4 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31406-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295279495 | Statewide Health Care Inc | Community/Behavioral Health | 102 Oglethorpe Professional Ct, Suite 4, Savannah, GA 31406-3600 | 2016-12-07 |
| 1902159429 | Statewide Healthcare Inc | Home Health | 102 Oglethorpe Professional Ct, 4, Savannah, GA 31406-3600 | 2012-10-22 |
| 1982994307 | Statewide Healthcare Inc. | Case Management | 102 Oglethorpe Professional Ct, Suite 4, Savannah, GA 31406-3600 | 2011-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
| 1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
| 1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
| 1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
| 1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
| 1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
| 1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
| 1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
| Find all providers in zip 31406 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245840396 | Elite Personal Care Solutions LLC | Home Health | 1502 Benton Blvd Apt 5304, Savannah, GA 31407-5148 | 2020-08-04 |
| 1598387284 | Savannah Specialty Home Care, LLC | Home Health | 18 Commerce Pl Ste B, Savannah, GA 31406-3607 | 2020-05-15 |
| 1942851423 | Cherish Companion & Care | Home Health | 612 Wild Turkey Rd, Savannah, GA 31406-6704 | 2019-09-25 |
| 1144887068 | Tiffany Pearson | Home Health | 101 Hillgate Rd, Savannah, GA 31404-1418 | 2019-05-27 |
| 1083278493 | Healthcare Abundance Care LLC | Home Health | 6203 Abercorn St Ste 106d, Savannah, GA 31405-5596 | 2019-05-01 |
| 1073085809 | Love and Honesty Homecare, LLC | Home Health | 644 Kline St, Savannah, GA 31415-5453 | 2018-12-18 |
| 1386133494 | Harmony Rose Care, LLC | Home Health | 816 Tibet Ave, Savannah, GA 31406-4450 | 2018-05-03 |
| 1952802753 | Solana Holdings, LLC | Home Health | 5 Oglethorpe Professional Blvd Ste 120, Savannah, GA 31406-3621 | 2018-02-27 |
| 1144720996 | Compassionate Care Services of Savannah, LLC | Home Health | 18 Oleander Ave, Savannah, GA 31404-3544 | 2018-02-19 |
| 1831607126 | Safehouse Home Healthcare LLC | Home Health | 1908 Greenwood St, Savannah, GA 31404-1223 | 2018-01-20 |
| Find all providers in SAVANNAH | ||||
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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.