LIGHT OF HOPE PERSONAL CARE HOME (NPI# 1912362328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912362328 |
Entity Type | Organization |
Organization Name | LIGHT OF HOPE PERSONAL CARE HOME |
Practice Address |
1010 E 6th Ave Nashville GA 31639-1747 |
Mailing Address |
1010 East 6th Street Nashville GA 31639-0495 |
Practice Telephone | 2294949174 |
Practice Fax Number | 2294949174 |
Mailing Telephone | 2294949174 |
Mailing Fax Number | 2294949174 |
Enumeration Date | 2015-12-30 |
Last Update Date | 2015-12-30 |
Authorized Official Name | LIZA MAE HUNDLEY (CEO/ MANGER) |
Authorized Official Telephone | 2294949174 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
PCH008499 | GA | Nursing & Custodial Care Facilities |
Street Address |
1010 E 6TH AVE |
City | NASHVILLE |
State | GA |
Zip Code | 31639-1747 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528297538 | Jonathan David Wade | Family Medicine | 110 S Jefferson St, Nashville, GA 31639 | 2009-07-11 |
1952519449 | Sherrie Lynn Williams | Social Worker | 168 Oak Ridge Dr., Nashville, GA 31639 | 2007-05-18 |
1467665208 | Celestine Stiles | Family Medicine | 418 E. Mcpherson Ave, Nashville, GA 31639 | 2007-05-08 |
1710056668 | Berrien County Board of Education Program for Exceptional Students | Local Education Agency (LEA) | 909a N Davis St., Nashville, GA 31639 | 2006-11-07 |
1487762852 | J H Harvey Co LLC | Durable Medical Equipment & Medical Supplies | 207 Mcpherson St, Nashville, GA 31639 | 2006-08-27 |
1427081033 | Quality Homecare Inc | Durable Medical Equipment & Medical Supplies | 711 North Davis St, Nashville, GA 31639 | 2006-07-08 |
1619954112 | Richard E Wheeler | Family Medicine | 416a East Mcpherson Ave, Nashville, GA 31639 | 2005-12-27 |
1639467038 | Southland-nashville Emergency Services, LLC. | Emergency Medicine | 1221 E Mcpherson Ave, Nashville, GA 31639 | 2011-07-19 |
1174189542 | Margaret Williams | Adult Companion | 808 Edgewood St Apt 103, Nashville, GA 31639-1177 | 2019-05-11 |
1922557792 | Ssss | Clinic/Center | 902 Pecan St, Nashville, GA 31639-1220 | 2016-09-22 |
Find all providers in zip 31639 |
Taxonomy Code | 311ZA0620X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Custodial Care Facility |
Specialization | Adult Care Home |
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114563673 | Matthew Stancil Davenport | Custodial Care Facility | 2318 N Nc Highway 58, Nashville, NC 27856-9007 | 2019-11-20 |
1124418595 | Mercys Supportive Living | Custodial Care Facility | 932 Cobble Ridge Rd, Nashville, NC 27856-7868 | 2015-01-23 |
1326465089 | Eberechi Obi Onyejiaka | Custodial Care Facility | 525 Galesburg Ct., Nashville, TN 37217 | 2014-03-19 |
1275956112 | Alternative Care Inc.. | Custodial Care Facility | 525 Galesburg Ct, Nashville, TN 37217-4017 | 2014-01-29 |
1194952622 | Elder Assist By Estelle | Custodial Care Facility | 7200 Tolbert Rd, Nashville, TN 37209-5122 | 2009-06-10 |
1124299425 | Michael V Graves | Custodial Care Facility | 1819 Charlotte Avenue, Nashville, TN 37203 | 2008-03-14 |
1629249149 | Pro Nurse of Tn | Custodial Care Facility | 1819 Charlotte Ave, Nashville, TN 37203 | 2008-03-13 |
1144408394 | Bullock Family Care Home of Nashville Inc. | Custodial Care Facility | 619 S Boddie St, Nashville, NC 27856-1229 | 2008-02-08 |
1215394390 | Bradford House Family Care Home | Custodial Care Facility | 703 Bayberry Ln, Nashville, NC 27856-1578 | 2016-01-21 |
1285936880 | Above and Beyond Residential Living, Inc | Custodial Care Facility | 315 10th Ave N, Ste 122, Nashville, TN 37203-3498 | 2010-12-02 |
Find all providers in NASHVILLE |
Please comment or provide details below to improve the information on LIGHT OF HOPE PERSONAL CARE HOME.
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.