SUNDANCE REHAB (NPI# 1013217140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013217140 |
| Entity Type | Organization |
| Organization Name | SUNDANCE REHAB |
| Practice Address |
64 Miller Dr Richmond Hill GA 31324-4843 |
| Mailing Address |
1 Peachtree Dr Savannah GA 31419-1200 |
| Practice Telephone | 9125965436 |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2010-10-22 |
| Authorized Official Name | KRISTIN HIGDON (PTA PROG. MGR) |
| Authorized Official Telephone | 9129270667 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | 5527 | GA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508188780 | Sundance Rehab | Assisted Living Facility | 2480 N Park Rd, Hollywood, FL 33021-3744 | 2010-02-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | SUNDANCE REHABILATION CORPORATION | 101 East State Streett, Attn Tax Dept, Kennett Square, PA 19348 |
| Washington State Corporations | SUNDANCE REHABILITATION AGENCY, INC. | 101 Sun Ave Ne, Albuquerque, NM 87109 |
| Massachusetts Corporations | SUNDANCE REHABILITATION AGENCY, INC. | 101 E. State Street, Kennett Square, PA 19348 |
| Connecticut Business Registrations | SUNDANCE REHABILITATION AGENCY, INC. | 101 East State Street, Kennett Square, PA 19348 |
| Oklahoma Business Registrations | SUNDANCE REHABILITATION AGENCY, INC. | 101 Sun Ave Ne, Albuquerque, NM 87109 |
| Washington State Corporations | SUNDANCE REHABILITATION AGENCY, LLC | 300 Deschutes Way Sw #304, Olympia, WA 98501 |
| Virginia Business Entities | SUNDANCE REHABILITATION CORPORATION | 101 East State Street, Kennett Square, Pennsylvania 19348 |
| Oregon Corporations, Companies and Business Names | SUNDANCE REHABILITATION CORPORATION | 101 East State Street, Kennett Square, PA 19348 |
| Vermont Business Registrations | SUNDANCE REHABILITATION CORPORATION | 101 Sun Ave Ne, Albuquerque, NM 87109 |
| Oklahoma Business Registrations | SUNDANCE REHABILITATION CORPORATION | 5131 Masthead Ne, Albuquerque, NM 87109 |
| Street Address |
64 MILLER DR |
| City | RICHMOND HILL |
| State | GA |
| Zip Code | 31324-4843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538464219 | Eric Paul Adamski | Skilled Nursing Facility | 64 Miller Dr, Richmond Hill, GA 31324-4843 | 2011-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902389588 | Bryan Anderson | Physician Assistant | 8435 Vanguard Road, Fort Stewart, GA 31324 | 2018-09-10 |
| 1366941684 | Codie Wiley | Physician Assistant | Expercare Urgent Care 60 Exchange Street, Suite B7, Richmond Hill, GA 31324 | 2018-02-02 |
| 1174038145 | Shelly Stewart Childers | Nurse Practitioner | 2453 U.S. 17, Suite G, Richmond Hill, GA 31324 | 2017-12-12 |
| 1619495215 | Kristi Oxley | Nurse Practitioner | 2701 Us Hwy 17 Ste 1b, Richmond Hill, GA 31324 | 2017-09-03 |
| 1275062564 | Janice Tillman Gravitt | Registered Nurse | 60 Long Creek Lane, Richmond Hill, GA 31324 | 2017-06-08 |
| 1336680065 | Choice Care Medical | Durable Medical Equipment & Medical Supplies | 9390 Ford Ave Ste 9, Richmond Hill, GA 31324 | 2017-03-14 |
| 1750730263 | Haralabos Saltourides | Physical Therapy Assistant | 127 Carter Street, Richmond Hill, GA 31324 | 2016-06-06 |
| 1922462464 | Leia Edenfield | Student in an Organized Health Care Education/Training Program | 105 Balfour Dr, Richmond Hill, GA 31324 | 2016-04-11 |
| 1477931384 | Stephanie Eileen Banasik | Nurse Practitioner | 10200 Ford Ave. Ste. 101, Richmond Hill, GA 31324 | 2015-05-12 |
| 1962800771 | Kendra Seagraves | Nurse Practitioner | 9976 Ford Avenue, Richmond Hill, GA 31324 | 2014-12-10 |
| Find all providers in zip 31324 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205114048 | Brian Perez | Residential Treatment Facility, Physical Disabilities | 8776 117th St, Richmond Hill, NY 11418-2428 | 2011-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619403805 | Quencie's Manor LLC | Residential Treatment Facility, Physical Disabilities | 2104 Jeffersonville Rd, Macon, GA 31217-4517 | 2017-05-07 |
| 1114452620 | Training On The Move | Residential Treatment Facility, Physical Disabilities | 619 Hampton St, Hinesville, GA 31313-3535 | 2017-04-23 |
| 1780122010 | Pugh's Personal Care Home | Residential Treatment Facility, Physical Disabilities | 5834 St Matthews St John Church Rd, Donalsonville, GA 39845-3550 | 2017-02-07 |
| 1730621756 | Innovative Solutions Personal Care Home | Residential Treatment Facility, Physical Disabilities | 569 Phyllis Cir, Camilla, GA 31730-6438 | 2016-11-08 |
| 1285029884 | Hhsrc Neuromuscular | Residential Treatment Facility, Physical Disabilities | 5474 Oakley Industrial Blvd, Apt. 1032, Fairburn, GA 30213-4455 | 2015-03-31 |
| 1255723813 | Cotter Personal Care Home LLC | Residential Treatment Facility, Physical Disabilities | 5146 Cotter Dr, Union City, GA 30291-1812 | 2015-02-19 |
| 1770996001 | Reaves Home Care Services | Residential Treatment Facility, Physical Disabilities | 2502 Trees of Kennesaw Pkwy Nw, Kennesaw, GA 30152-8220 | 2014-06-04 |
| 1225453079 | Delroy Thomas | Residential Treatment Facility, Physical Disabilities | 8099 Revere Dr, Mcdonough, GA 30252-8924 | 2014-03-03 |
| 1134564131 | Panola Care, Cla | Residential Treatment Facility, Physical Disabilities | 3169 Pequea Dr, Lithonia, GA 30038-1119 | 2013-05-03 |
| 1235490095 | Apfa | Residential Treatment Facility, Physical Disabilities | 4776 Ben Hill Rd, Douglasville, GA 30134-4213 | 2012-06-07 |
| Find all providers with the same taxonomy | ||||
| City | RICHMOND HILL |
| Zip Code | 31324 |
Please comment or provide details below to improve the information on SUNDANCE REHAB.
| 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.