COMPREHENSIVE VINE HEALTH SERVICES (NPI# 1972872661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972872661 |
| Entity Type | Organization |
| Organization Name | COMPREHENSIVE VINE HEALTH SERVICES |
| Practice Address |
1978 Scarbrough Dr Stone Mountain GA 30088-4422 |
| Practice Telephone | 4047837382 |
| Mailing Telephone | 4047837382 |
| Enumeration Date | 2011-12-26 |
| Last Update Date | 2011-12-26 |
| Authorized Official Name | MS. QUINTINA L MACAULEY (SOLE MEMBER) |
| Authorized Official Telephone | 4047837382 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | RN109088 | GA | Agencies |
| Y | 251S00000X | Community/Behavioral Health | RN10908 | GA | Agencies |
| Street Address |
1978 SCARBROUGH DR |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30088-4422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565902 | Edward Edeh | Pharmacist | 1232 South Hairstoh Road, Stone Mountain, GA 30088 | 2020-10-16 |
| 1588124879 | Birds of Paradise Physical Therapy Services,llc | Physical Therapy Assistant | 754 Post Road Ln, Address Line 2, Stone Mountain, GA 30088 | 2019-03-22 |
| 1710467923 | Stephanie Patrice Mccray | In Home Supportive Care | 1058 Millard Road, Stone Mountain, GA 30088 | 2018-08-16 |
| 1912365321 | Audrey Perry | Respiratory Therapist, Certified | 1588 Linkview Close, Stone Mountain, GA 30088 | 2016-02-01 |
| 1689041428 | Reaching Above Poverty | Counselor | 5401 Megan Rd, Stone Mountain, GA 30088 | 2015-08-27 |
| 1043692254 | Bethany Johnson | Home Health Aide | 981 Deer Chase Court, Stone Mountain, GA 30088 | 2015-06-24 |
| 1073859666 | Whitney's Place Inc. | Custodial Care Facility | 5451 Rockbeidge Road, Stone Mountain, GA 30088 | 2012-12-31 |
| 1831468818 | The Art of Living Cla LLC. | Community/Behavioral Health | 1668 South Hairston Rd, Stone Mountain, GA 30088 | 2011-12-21 |
| 1659670792 | Atarah Ranit Kimmons | Occupational Therapist | 2045 County Down Lane, Stone Moutain, GA 30088 | 2011-03-15 |
| 1104060219 | William Tyrell Reid Jr. | Dentist | 1183 South Hairstron Rd., Suite D, Stone Mountain, GA 30088 | 2009-04-21 |
| Find all providers in zip 30088 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285247270 | Hudu Yoga & Therapy | Community/Behavioral Health | 3900 Springleaf Ct, Stone Mountain, GA 30083-4692 | 2020-08-28 |
| 1457908303 | Arms Wide Open | Community/Behavioral Health | 871 Forest Path, Stone Mountain, GA 30088-2245 | 2019-08-23 |
| 1821546995 | Change Agents Counseling & Consulting, LLC | Community/Behavioral Health | 5115 Chastleton Dr, Stone Mountain, GA 30087-1443 | 2016-09-16 |
| 1881077659 | Latisha Mcwilliams | Community/Behavioral Health | 4346 Crestridge Ln, Stone Mountain, GA 30083-6104 | 2015-06-29 |
| 1891174256 | Andrea Teresa Ashe | Community/Behavioral Health | 4666 Randalwood Dr, Stone Mountain, GA 30083-4350 | 2015-05-19 |
| 1841600871 | Diversified Counseling & Counsulting | Community/Behavioral Health | 490 S Stone Mtn Lithonia Rd, 88, Stone Mountain, GA 30088-1532 | 2014-04-29 |
| 1992128995 | New Progressions of Georgia, LLC | Community/Behavioral Health | 1298 Rockbridge Rd, Suite D, Stone Mountain, GA 30087-3000 | 2014-01-27 |
| 1962824466 | Ican Think Positive Counseling and Coaching Services | Community/Behavioral Health | 5405 Memorial Dr Bldg C, Stone Mountain, GA 30083-3234 | 2014-01-17 |
| 1194158253 | The Counseling Healing Center, LLC | Community/Behavioral Health | 5300 Memorial Dr Ste 141, Stone Mountain, GA 30083-3155 | 2013-08-13 |
| 1639515992 | Serenity Candles & Soaps, Inc. | Community/Behavioral Health | 1872 Chedworth Ln, Stone Mountain, GA 30087-2121 | 2013-05-14 |
| Find all providers in STONE MOUNTAIN | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30088 |
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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.