ASSISTED LIVING CORPORATION OF GA (NPI# 1013241322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013241322 |
| Entity Type | Organization |
| Organization Name | ASSISTED LIVING CORPORATION OF GA |
| Practice Address |
149 Shady Ln Canton GA 30114-7960 |
| Mailing Address |
794 Middlebrook Dr Jonesboro GA 30236-2020 |
| Practice Telephone | 4047905956 |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2009-09-21 |
| Authorized Official Name | MIKE LASITER (PRESIDENT) |
| Authorized Official Telephone | 4047905956 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | Agencies |
| Street Address |
149 SHADY LN |
| City | CANTON |
| State | GA |
| Zip Code | 30114-7960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
| 1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
| 1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
| 1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
| 1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
| 1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
| 1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
| Find all providers in zip 30114 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598381907 | Nieshia West | Nursing Care | 201 Wertz Ave Sw, Canton, OH 44710-2404 | 2020-06-22 |
| 1770108896 | Building New Pathways Home Health Care LLC | Nursing Care | 4461 S Sheldon Rd, Canton, MI 48188-2522 | 2020-06-15 |
| 1467960039 | Lum Personal Care Home, LLC | Nursing Care | 1132 Copper Creek Dr, Canton, GA 30114-8178 | 2018-01-17 |
| 1932638038 | Hall of Fame Residential Services | Nursing Care | 6691 Freedom Ave Nw, Canton, OH 44720-7301 | 2017-06-12 |
| 1962949883 | Chauntelle Andrews | Nursing Care | 3210 14th St Sw, Canton, OH 44710 | 2017-01-30 |
| 1356512867 | Caring R Us, LLC | Nursing Care | 905 Turnpike St Ste E1, Canton, MA 02021-2833 | 2008-03-12 |
| 1497849848 | Netsource Health Services Ltd | Nursing Care | 2812 7th St Nw, Canton, OH 44708-4315 | 2006-10-02 |
| 1932727005 | Compassionate Care Home Health Service | Nursing Care | 242 W North St, Canton, MS 39046-3723 | 2020-07-06 |
| 1962041798 | Kids' Kastle Gluckstadt | Nursing Care | 112 Westfalen Drive, Canton, MS 39046 | 2019-12-26 |
| 1922641802 | Gables Canton | Nursing Care | 3660 Greentree Ave Sw, Canton, OH 44706-4024 | 2019-10-23 |
| Find all providers in CANTON | ||||
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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.