EASTER SEALS WEST GEORGIA, INC (NPI# 1073660528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073660528 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS WEST GEORGIA, INC |
| Practice Address |
2515 Double Churches Rd Columbus GA 31909-2742 |
| Mailing Address |
Po Box 1690 Fortson GA 31808-1690 |
| Practice Telephone | 7066601144 |
| Mailing Telephone | 7066601144 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. SHARON J BORGER (PRESIDENT CEO) |
| Authorized Official Telephone | 7066601144 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Street Address |
2515 DOUBLE CHURCHES RD |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31909-2742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649359050 | Annette P Perdue | Speech-Language Pathologist | 2515 Double Churches Rd, Columbus, GA 31909-2742 | 2006-11-04 |
| 1780219113 | Shelbi Moxley | Physical Therapist | 2515 Double Churches Rd, Columbus, GA 31909-2742 | 2020-03-05 |
| 1366946402 | Mollie Allen Holt | Occupational Therapist | 2515 Double Churches Rd, Columbus, GA 31909-2742 | 2018-03-22 |
| 1902352586 | Kaitlyn Putt | Physical Therapist | 2515 Double Churches Rd, Columbus, GA 31909-2742 | 2016-09-01 |
| 1043667819 | Heather Neely | Speech-Language Pathologist | 2515 Double Churches Rd, Columbus, GA 31909-2742 | 2016-05-20 |
| 1639530074 | Gregory A Johnston | Occupational Therapist | 2515 Double Churches Rd, Human Performance and Rehabilitation Center, Columbus, GA 31909-2742 | 2016-03-13 |
| 1184090508 | Virginia Taylor Childs | Physical Therapist | 2515 Double Churches Rd, Columbus, GA 31909-2742 | 2015-08-19 |
| 1548666746 | Sarah Rhodes | Physical Therapist | 2515 Double Churches Rd, Columbus, GA 31909-2742 | 2014-11-15 |
| 1205264306 | Jayme Michelle Mancera | Occupational Therapist | 2515 Double Churches Rd, Columbus, GA 31909-2742 | 2013-10-29 |
| 1659703080 | Kyla Gene Ward | Speech-Language Pathologist | 2515 Double Churches Rd, Columbus, GA 31909-2742 | 2013-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747403 | Abundant Heart Healthcare Solution, LLC | Adult Companion | 6361 Talokas Lane, Ste C 140-279, Columbus, GA 31909 | 2020-07-14 |
| 1477185791 | Shandis Denise Phaneuf | Licensed Practical Nurse | 6545 Gregg Dr, Columbus, GA 31909 | 2020-02-05 |
| 1164086203 | Brock Musick | Physical Therapist | 100 First Court, Columbus, GA 31909 | 2019-04-24 |
| 1407340037 | Courtney Patterson | Behavior Technician | 5900 Warm Springs Road, Suite J, Columbus, GA 31909 | 2018-06-18 |
| 1225543515 | Oral & Facial Surgery of East Alabama, LLC | Dentist | 4405 N Stadium Drive, Suite A, Columbus, GA 31909 | 2017-12-08 |
| 1528577368 | Courtney Anne Young | Nurse Practitioner | 2700 Double Churches Rd, Apt 1207, Columbus, GA 31909 | 2017-09-25 |
| 1427573542 | Megan Renee Kwon | Dietitian, Registered | 4343 Warm Springs Road Apt. 110, Columbus, GA 31909 | 2017-08-09 |
| 1942659305 | Stephanie Mcghee | Dental Hygienist | 4835 Turnberry Lane, Columbus, GA 31909 | 2016-06-07 |
| 1770932162 | Tammy Allen | Dental Assistant | 701 Hoff Rd Building 9240, Ft. Benning, GA 31909 | 2016-06-07 |
| 1003265406 | Rhonda Mills | Dental Assistant | 7101 Hoff Rd Building 9240, Ft. Benning, GA 31909 | 2016-06-07 |
| Find all providers in zip 31909 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184239774 | Jennifer Crayton | Day Training, Developmentally Disabled Services | 1989 Sharbot Dr, Columbus, OH 43229-5726 | 2020-09-10 |
| 1457962797 | Southeastern Support Care Services LLC | Day Training, Developmentally Disabled Services | 3523 Fuller St, Columbus, GA 31907-2554 | 2020-08-11 |
| 1659993517 | Audrey Lynn Susz | Day Training, Developmentally Disabled Services | 3022 Saint John Ct Apt 1, Columbus, OH 43202-1819 | 2020-05-14 |
| 1497308357 | Sunshine Adult Daycare and Transportation | Day Training, Developmentally Disabled Services | 5163 Sinclair Rd, Columbus, OH 43229-5413 | 2019-07-19 |
| 1427514918 | Alpha & Omega Supported Living Agency, LLC | Day Training, Developmentally Disabled Services | 2236 S Hamilton Rd Ste 104, Columbus, OH 43232-4381 | 2019-02-20 |
| 1700371911 | Central Ohio Life Care Center LLC | Day Training, Developmentally Disabled Services | 1150 Morse Rd Ste 110, Columbus, OH 43229-6327 | 2018-06-29 |
| 1922512920 | Joseph Robert Malone | Day Training, Developmentally Disabled Services | 4545 Collingwood Pointe Pl, Columbus, OH 43230-8446 | 2017-11-29 |
| 1285160713 | Arc Industries Inc of Franklin County Ohio | Day Training, Developmentally Disabled Services | 2300 Marilyn Ln, Columbus, OH 43219-1792 | 2017-05-03 |
| 1104350339 | Hmsb Group of Companies | Day Training, Developmentally Disabled Services | 4510 Dundee Ave, Columbus, OH 43227-2416 | 2017-04-14 |
| 1174068332 | Rena Hall | Day Training, Developmentally Disabled Services | 5211 Argonne Dr, Columbus, GA 31907-6702 | 2016-12-27 |
| Find all providers in COLUMBUS | ||||
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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.