SHEPPARD'S PROGRESSIVE REHABILITATION (NPI# 1912063017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912063017 |
| Entity Type | Organization |
| Organization Name | SHEPPARD'S PROGRESSIVE REHABILITATION |
| Other Organization Name | CHILDREN'S ADVANCED THERAPEUTIC SERVICES |
| Practice Address |
6505 Riada Ct Mcdonough GA 30253-8535 |
| Mailing Address |
Po Box 1666 Jonesboro GA 30237-1666 |
| Practice Telephone | 6784226271 |
| Practice Fax Number | 6784226696 |
| Mailing Telephone | 6784226271 |
| Mailing Fax Number | 6784226696 |
| Enumeration Date | 2006-12-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. RHONDA SHEPPARD (CEO OWNER) |
| Authorized Official Telephone | 6784226271 |
| Authorized Official Credential | PHYSICAL THERAPI |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 002406 | GA | Agencies |
| Other Name | Type Code |
|---|---|
| Children's Advanced Therapeutic Services | Doing Business As Name - Organization |
| Street Address |
6505 RIADA CT |
| City | MCDONOUGH |
| State | GA |
| Zip Code | 30253-8535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548484207 | Valerie Gandy | Social Worker | 6505 Riada Ct, Mcdonough, GA 30253-8535 | 2007-04-12 |
| 1083771372 | April Burke | Speech-Language Pathologist | 6505 Riada Ct, Mcdonough, GA 30253-8535 | 2007-01-03 |
| 1093872079 | Canitice Harrell | Speech-Language Pathologist | 6505 Riada Ct, Mcdonough, GA 30253-8535 | 2007-01-02 |
| 1215094263 | Ulyssess Pickard | Physical Therapist | 6505 Riada Ct, Mcdonough, GA 30253-8535 | 2007-01-02 |
| 1003973900 | Shelia Hambrick | Case Manager/Care Coordinator | 6505 Riada Ct, Mcdonough, GA 30253-8535 | 2007-01-02 |
| 1023175825 | Rhonda Sheppard | Physical Therapist | 6505 Riada Ct, Mcdonough, GA 30253-8535 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565159 | First Choice Home Health Care LLC | In Home Supportive Care | 600 Westridge Parkway, Suite 707, Mcdonough, GA 30253 | 2020-10-15 |
| 1164033783 | Tanequa S Dorsey | Counselor | 40 Macon Street, Suite D, Mcdonough, GA 30253 | 2020-08-17 |
| 1396369195 | Ikponmwosa Obakpolor | Physical Therapist | 234 Village Drive, Mcdonough, GA 30253 | 2020-06-08 |
| 1205392305 | Healthstat Onsite Clinic-henry County | Preventive Medicine | 141 Henry Parkway, Healthstat Clinic, Mcdonough, GA 30253 | 2019-02-13 |
| 1588128557 | Vernette R Mathurin | Licensed Practical Nurse | 97 Atl Street Suite 100, Mcdonough, GA 30253 | 2019-01-24 |
| 1083196836 | Peta-gaye C Pilote | Registered Nurse | 319 Regal Way E, Mcdonough, GA 30253 | 2018-08-29 |
| 1275021586 | Heritage Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 155 Westridge Pkwy Ste 217, Mcdonough, GA 30253 | 2018-04-23 |
| 1457853236 | Sherrille Greene | Counselor | 609 Autumn Leaf Circle, Mcdonough, GA 30253 | 2018-03-07 |
| 1376052696 | Kendra Oreggio | Private Vehicle | 117 Janney Circle, Mcdonough, GA 30253 | 2017-09-29 |
| 1245758788 | Pamela Hobbs | Home Health Aide | 5011 Monarch Dr, Mcdonough, GA 30253 | 2017-09-05 |
| Find all providers in zip 30253 | ||||
| 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 |
|---|---|---|---|---|
| 1649877796 | Antonio Mellon | Home Health | 255 Racetrack Rd # 18, Mcdonough, GA 30252-6834 | 2020-10-01 |
| 1306450796 | The Harmony Home of Kitchens Road, LLC | Home Health | 255 Racetrack Rd Ste 25, Mcdonough, GA 30252-6834 | 2020-09-02 |
| 1740899368 | Reflections Private Home Care Corp | Home Health | 234 Racetrack Rd, Mcdonough, GA 30252-6833 | 2020-07-29 |
| 1174169684 | Assured Relief Home Care, LLC. | Home Health | 820 Pavilion Ct Ste D, Mcdonough, GA 30253-6666 | 2019-11-19 |
| 1225596307 | Comfort At Home Private Homecare, LLC | Home Health | 289 Jonesboro Rd Ste 643, Mcdonough, GA 30253-3725 | 2019-03-07 |
| 1437615606 | Opal Constantine Jasper | Home Health | 100 Shoal Park Dr, Mcdonough, GA 30252-5822 | 2019-02-13 |
| 1184097818 | Dwelling Healthcare Services LLC | Home Health | 1178 Folkstone Dr, Mcdonough, GA 30253-3924 | 2015-11-03 |
| 1134519929 | Grand Helpers, LLC | Home Health | 480 Willow Ln, Mcdonough, GA 30253-6572 | 2015-01-30 |
| 1548668098 | Optimum Pediatric Services LLC | Home Health | 2058 Reserve Pkwy, Mcdonough, GA 30253-7433 | 2014-12-16 |
| 1033524798 | H-squared Health Resources Inc | Home Health | 15 Jonesboro St Bldg R, Mcdonough, GA 30253-3161 | 2014-06-20 |
| Find all providers in MCDONOUGH | ||||
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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.