DOGWOOD PLANTATION OF FULTON (NPI# 1093008542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093008542 |
Entity Type | Organization |
Organization Name | DOGWOOD PLANTATION OF FULTON |
Practice Address |
201 W Piercetown Rd Fulton MS 38843-8597 |
Mailing Address |
201 West Piercetown Road Fulton MS 38843 |
Practice Telephone | 6628626120 |
Practice Fax Number | 6628626146 |
Mailing Telephone | 6628403111 |
Mailing Fax Number | 6628403119 |
Enumeration Date | 2011-05-17 |
Last Update Date | 2011-05-17 |
Authorized Official Name | F. G. JACK BOBO (MANAGING PARTNER) |
Authorized Official Telephone | 6626242425 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | 933 | MS | Nursing & Custodial Care Facilities |
Street Address |
201 W PIERCETOWN RD |
City | FULTON |
State | MS |
Zip Code | 38843-8597 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285126227 | Medplus Fulton, LLC | Clinic/Center | 407 Interchange Drive, Fulton, MS 38843 | 2018-06-05 |
1568843332 | Jordan Webster Steele | Family Medicine | 384 Mount Pisgah Road, Fulton, MS 38843 | 2015-06-17 |
1649674342 | Natalie Wilburn Heckart | Nurse Practitioner | 1301 South Adams Sreet, Fulton, MS 38843 | 2014-10-09 |
1740416429 | Joshua Michael Hatfield | Optometrist | 1310 E Walker St, Fulton, MS 38843 | 2009-06-08 |
1174691141 | Ronald L. Wheeler | Dentist | 1309 South Adams Street, Fulton, MS 38843 | 2006-11-30 |
1003990193 | Total Eye Care PC | Optometrist | 1310 E. Walker St., Fulton, MS 38843 | 2006-10-25 |
1477658912 | Rodolfo Noche Arriola | General Practice | 418 Hospital Rd, 1, Fulton, MS 38843 | 2006-09-13 |
1720095896 | Timothy J Evans | Nurse Practitioner | 1301 S Adams St, Fulton, MS 38843 | 2006-08-02 |
1376567941 | Gerald E. Klein | Chiropractor | 101 Wheeler Dr Suite B, Fulton, MS 38843 | 2006-07-27 |
1497197529 | Adrianna Beth Johnson | Physical Therapist | 406 Interchange Drive, Fulton, MS 38843 | 2013-07-17 |
Find all providers in zip 38843 |
Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578986105 | Total Investment & Marketing, Inc | Assisted Living Facility | 12026 Scaggsville Road, Fulton, MD 20759 | 2014-02-03 |
1881831584 | Charleston Place | Assisted Living Facility | 804 S Adams St, Fulton, MS 38843-6049 | 2009-01-16 |
1295990208 | Annie's Home | Assisted Living Facility | 1107b Amherst St, Fulton, MO 65251-2373 | 2008-07-20 |
1598972580 | Bristol Care, Inc. | Assisted Living Facility | 704 W Chestnut St, Fulton, MO 65251-1254 | 2007-05-17 |
1447466032 | Bristol Care, Inc. | Assisted Living Facility | 750 Sign Painter Rd, Fulton, MO 65251-2514 | 2007-05-14 |
1467408716 | Fulton Residential, LLC | Assisted Living Facility | 120 N Hospital Dr, Fulton, MO 65251-2511 | 2006-05-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215558747 | Waymaker Enterprises, LLC | Assisted Living Facility | 204 Bradfield Rd, Madison, MS 39110-7035 | 2020-05-06 |
1417508110 | Maxine Delores Harris | Assisted Living Facility | 104 Martin Luther King Blvd, Arcola, MS 38722 | 2019-09-24 |
1548819733 | Snh Omiss Tenant LLC | Assisted Living Facility | 1488 Belk Blvd, Oxford, MS 38655-5356 | 2019-09-10 |
1457900649 | Snh Omiss Tenant LLC | Assisted Living Facility | 108 Clarington Dr, Southaven, MS 38671-5640 | 2019-09-10 |
1972152619 | The Claiborne At Adelaide | Assisted Living Facility | 74 Claiborne Way, Starkville, MS 39759-8544 | 2019-09-05 |
1992369102 | James Wilson | Assisted Living Facility | 15986 W Main St, Louisville, MS 39339-2636 | 2019-04-24 |
1023519766 | The Blake At Oxford | Assisted Living Facility | 110 Ed Perry Blvd, Oxford, MS 38655-3452 | 2018-02-27 |
1194224873 | Barnes Crossing Retirement Community LLC | Assisted Living Facility | 1090 County Road 811, Saltillo, MS 38866-7304 | 2018-02-07 |
1649782202 | Garden Hill Assisted Living | Assisted Living Facility | 2082 Yorkville Rd E, Columbus, MS 39702-9406 | 2017-11-03 |
1891228581 | Magnolia Gardens Assisted Living | Assisted Living Facility | 303 East Ivy, Ellisville, MS 39437 | 2017-04-10 |
Find all providers with the same taxonomy |
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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.