HOME CONVALESCENT CARE (NPI# 1033456892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033456892 |
| Entity Type | Organization |
| Organization Name | HOME CONVALESCENT CARE |
| Other Organization Name | HOME CONVALESCENT CARE |
| Practice Address |
140 Bud Harrell Rd 140 Bud Harrelle Rd Bainbridge GA 39817-7920 |
| Mailing Address |
140 Bud Harrell Rd Bainbridge GA 39817-7920 |
| Practice Telephone | 2292544967 |
| Practice Fax Number | 2294164267 |
| Mailing Telephone | 2292544967 |
| Mailing Fax Number | 2294164267 |
| Enumeration Date | 2013-01-13 |
| Last Update Date | 2013-01-13 |
| Authorized Official Name | MISS MARJORIE DIANE SMITH (OWNER/MANAGER) |
| Authorized Official Telephone | 2292544967 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2065X |
Respite Care Specialization: Respite Care, Physical Disabilities, Child |
110296 | GA | Respite Care Facility |
| Other Name | Type Code |
|---|---|
| Home Convalescent Care | Doing Business As Name - Organization |
| Street Address |
140 BUD HARRELL RD 140 BUD HARRELLE RD, |
| City | BAINBRIDGE |
| State | GA |
| Zip Code | 39817-7920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457774457 | Lori Phillips Temples | Speech-Language Pathologist | 100 S. West St., Bainbridge, GA 39817 | 2014-01-27 |
| 1629491626 | Diane W. Welch | Speech-Language Pathologist | 100 S. West Street, Bainbridge, GA 39817 | 2014-01-27 |
| 1104074699 | Charles Tanner Stafford | Obstetrics & Gynecology | 119 N. Donalson St., Suite B, Bainbridge, GA 39817 | 2008-09-09 |
| 1396966685 | Peggy Brennan Fordham | Pharmacist | 1500 Shutwell Street, Bainbridge Memorial Hospital, Bainbridge, GA 39817 | 2007-05-02 |
| 1518022425 | Tanya Williams Clark | Speech-Language Pathologist | 100 South West St., Bainbridge, GA 39817 | 2006-12-22 |
| 1558321125 | Sylena Mosely Wiggins | Speech-Language Pathologist | 100 South West Street, Bainbridge, GA 39817 | 2006-03-27 |
| 1194785469 | Winde Barber Farrington | Speech-Language Pathologist | 100 S. West St, Bainbridge, GA 39817 | 2006-03-23 |
| 1962825968 | Anna Reynolds Payne | Speech-Language Pathologist | 100 S. West Street, Bainbridge, GA 39817 | 2014-01-27 |
| 1093085524 | Dena Cutts Donalson | Pharmacist | 215 River Oaks Dr, Bainbridge, GA 39817-1030 | 2011-12-30 |
| 1386117448 | Bernadine D Collier | Registered Nurse | 107 Lance Ct, Bainbridge, GA 39817-1724 | 2019-01-10 |
| Find all providers in zip 39817 | ||||
| Taxonomy Code | 385HR2065X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Physical Disabilities, Child |
| A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295143881 | Nacolby's House, Incorporated | Respite Care | 104 Pristine Dr, Locust Grove, GA 30248-3746 | 2014-07-26 |
| 1316213150 | Personal Assistance of Toccoa, LLC | Respite Care | 221 E Doyle St, Toccoa, GA 30577-2960 | 2012-03-27 |
| 1033418975 | Hulin Transportation, Inc. | Respite Care | 906 Sandtown Rd., Washington, GA 30673 | 2011-03-17 |
| 1255640983 | Our Parents Place | Respite Care | 7081 Southlake Parkway, Morrow, GA 30260 | 2010-09-29 |
| 1982935607 | Family Home Care, LLC | Respite Care | 1791 Silver Leaf Ct, Marietta, GA 30008 | 2010-01-20 |
| 1538315437 | Rose Garden Health Care Services | Respite Care | 8318 Duralee Ln, Suite 201, Douglasville, GA 30134-2515 | 2008-08-11 |
| City | BAINBRIDGE |
| Zip Code | 39817 |
Please comment or provide details below to improve the information on HOME CONVALESCENT CARE.
| 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.