LIBERTY GROUP SENIOR SERVICES (NPI# 1033665039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033665039 |
| Entity Type | Organization |
| Organization Name | LIBERTY GROUP SENIOR SERVICES |
| Other Organization Name | DBA SENIOR DAY OUT |
| Practice Address |
1879 Glenwood Avenue Atlanta GA 30316 |
| Mailing Address |
300 Peachtree Street Ne Suite 21-l Atlanta GA 30308 |
| Practice Telephone | 4044687226 |
| Mailing Telephone | 4044687226 |
| Mailing Fax Number | 4049537896 |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-08-30 |
| Authorized Official Name | MS. SHERRY J. NELSON (CEO) |
| Authorized Official Telephone | 7705725727 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003175673A | 05 |
| Other Name | Type Code |
|---|---|
| DBA Senior Day Out | Doing Business As Name - Organization |
| Street Address |
1879 GLENWOOD AVENUE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073156923 | Rakiya Williams | Counselor | 1030 Fayetteville Rd., Atlanta, GA 30316 | 2019-10-23 |
| 1215585815 | Madison Victoria Baugh | Counselor | Chris180, 1030 Fayetteville Rd, Atlanta, GA 30316 | 2019-08-28 |
| 1265089460 | Josee Dominque Muldrew | Counselor | 1030 Fayetteville Rd. Se, Atlanta, GA 30316 | 2019-08-22 |
| 1255984241 | Monique Overstreet | Counselor | 1030 Fayetteville Road, Atlanta, GA 30316 | 2019-07-19 |
| 1023573979 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 905 Memorial Drive Se, Atlanta-fulton, GA 30316 | 2019-02-05 |
| 1740726454 | Jimmy Brian Sambula | Behavior Technician | 1017 Fayetteville Rd. Se, Atlanta, GA 30316 | 2017-01-19 |
| 1043673650 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 800 Glenwood Ave Se, Atlanta, GA 30316 | 2016-03-31 |
| 1992143382 | Ayodele Osasona | Surgery | 2004 Oak Terrace Dr Se, Atlanta, GA 30316 | 2013-06-07 |
| 1891945721 | Denise Renee Cagle | Social Worker | 1471 Town Country Dr Se, Atlanta, GA 30316 | 2008-09-28 |
| 1235172388 | Bethanne Jenks | Pediatrics | 2006 Hosea Williams Dr, Atlanta, GA 30316 | 2006-06-14 |
| Find all providers in zip 30316 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750936498 | Sec of Georgia Corp | Clinic/Center | 5522 New Peachtree Rd Ste 128, Atlanta, GA 30341-2544 | 2019-08-08 |
| 1487126066 | Skylark Adh-atlanta LLC | Clinic/Center | 1705 Commerce Dr Nw Ste 200, Atlanta, GA 30318-3107 | 2018-12-20 |
| 1093204190 | Fulton County Government | Clinic/Center | 677 Fairburn Rd Nw, Atlanta, GA 30331-1423 | 2018-05-03 |
| 1366963019 | Summerset Assisted Living Inc. | Clinic/Center | 3711 Benjamin E Mays Dr Sw, Atlanta, GA 30331-8600 | 2017-07-03 |
| 1568903805 | Skylark Adh-powers Ferry, LLC | Clinic/Center | 120 Interstate North Pkwy East, Se, Suite 420, Atlanta, GA 30339-2164 | 2017-03-20 |
| 1235406711 | Safe Haven Lenox Park | Clinic/Center | 1137 Lynmoor Dr Ne, Atlanta, GA 30319-4125 | 2011-11-28 |
| 1952531956 | Mims Care Home | Clinic/Center | 1589 Mims St Sw, Atlanta, GA 30314-2255 | 2009-07-24 |
| 1114127883 | Stay Well Care Solutions, Inc. | Clinic/Center | 22 Executive Park Drive Ne, Atlanta, GA 30329-2206 | 2007-07-20 |
| 1477191773 | Prudent Senior Services of Georgia | Clinic/Center | 5522 New Peachtree Rd Ste 128, Atlanta, GA 30341-2544 | 2019-12-17 |
| 1609365709 | Fulton County Government | Clinic/Center | 515 John Wesley Dobbs Ave Ne, Atlanta, GA 30312-1329 | 2018-05-03 |
| Find all providers in ATLANTA | ||||
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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.