CEDAR GROVE PCH LLC (NPI# 1922641091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922641091 |
| Entity Type | Organization |
| Organization Name | CEDAR GROVE PCH LLC |
| Other Organization Name | LANIECE APPLING |
| Practice Address |
245 S Woodlawn Dr Crawford GA 30630-2622 |
| Practice Telephone | 7067436133 |
| Mailing Telephone | 7067436133 |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2019-10-22 |
| Authorized Official Name | LANIECE APPLING (OWNER/DIRECTOR) |
| Authorized Official Telephone | 7067436133 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 172A00000X | Driver | Other Service Providers | ||
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| N | 177F00000X | Lodging | Other Service Providers | ||
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities | ||
| N | 372500000X | Chore Provider | Nursing Service Related Providers | ||
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Other Name | Type Code |
|---|---|
| Laniece Appling | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CEDAR GROVE PCH LLC | 245 S Woodlawn Dr, Crawford, GA 30630-2622 |
| Street Address |
245 S WOODLAWN DR |
| City | CRAWFORD |
| State | GA |
| Zip Code | 30630-2622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497398507 | Laniece Maria Appling | Driver | 245 S Woodlawn Dr, Crawford, GA 30630-2622 | 2019-10-21 |
| 1649890054 | Teresa R Bailey | Registered Nurse | 245 S Woodlawn Dr, Crawford, GA 30630-2622 | 2020-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982818688 | Kenneth Carson Roling | Pharmacist | 1185 Athens Rd, Suite 2, Crawford, GA 30630 | 2007-05-10 |
| 1487711917 | Raymond Schofield | Family Medicine | Box 125 Quiet Oaks Dr, Crawford, GA 30630 | 2007-01-03 |
| 1437163912 | Pine Leaf Investment Inc. | Skilled Nursing Facility | 125 Quiet Oaks Drive, Crawford, GA 30630 | 2006-07-28 |
| 1942243605 | Oglethorpe County Board of Commissioners | Ambulance | 892 Athens Road, Crawford, GA 30630 | 2006-06-13 |
| 1356512313 | Georgia Ramps, LLC | Durable Medical Equipment & Medical Supplies | 20 Pope Station Dr, Crawford, GA 30630-2125 | 2008-03-18 |
| 1093831455 | Advantage Bhs | Clinic/Center | 331 Wall St, Crawford, GA 30630-2419 | 2007-03-21 |
| 1912071267 | Advantage Bhs | Clinic/Center | 29 Oglethorpe Dr, Crawford, GA 30630-2526 | 2006-11-20 |
| 1164662342 | Rhonda Rae Mills | Chiropractor | 1071 Athens Rd, Crawford, GA 30630-2529 | 2009-02-27 |
| 1669895678 | River of Life Chiropractic, Inc | Chiropractor | 1071 Athens Rd, Crawford, GA 30630-2529 | 2014-01-27 |
| 1710297189 | Natalie Lark Bayne | Contractor | 1071 Athens Rd, Crawford, GA 30630-2529 | 2010-10-19 |
| Find all providers in zip 30630 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386243335 | Jessica Rowan | Technician | 1354 Straight Fork Rd, Crawford, WV 26343-8500 | 2020-10-21 |
| 1952913568 | Jessica Dawn Bennington | Technician | 42 Heater Dr, Crawford, WV 26343-4302 | 2020-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779481 | Karen Maria Jefferson | Technician | 1350 Ridenour Blvd Nw Apt 1303, Kennesaw, GA 30152-4588 | 2020-10-30 |
| 1114525193 | Bivens Nursing Services | Technician | 1123 Brown Ave, Columbus, GA 31906-2404 | 2020-10-13 |
| 1114539723 | Lisa Anita Riley | Technician | 3020 Bedrock Dr, Villa Rica, GA 30180-3422 | 2020-08-17 |
| 1770194458 | Michelle Perdue | Technician | 611 Trove Dr Nw, Rome, GA 30165-1065 | 2020-08-14 |
| 1972129914 | My Healing Angels LLC | Technician | 15 Mary Jane Ln, Covington, GA 30016-2325 | 2020-06-24 |
| 1053934802 | Simplicitys Personal Care Home LLC | Technician | 6741 Church St Ste 2, Riverdale, GA 30274-2249 | 2020-05-27 |
| 1811519622 | Torina L Collins | Technician | 103 Lavender St, Fort Valley, GA 31030-2625 | 2020-05-14 |
| 1225650658 | Melinda Frank | Technician | 2409 Mallard Ln # B, Hephzibah, GA 30815-5831 | 2020-05-07 |
| 1083248066 | Comfort Care Solutions Inc. | Technician | 2760 Broxton Mill Ct, Snellville, GA 30039-4437 | 2020-02-27 |
| 1942843792 | Ladonna Griffin | Technician | 813 Oakland Ave Sw, Rome, GA 30165-4125 | 2019-10-24 |
| 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.