BRENDA SNOW JACOBS (NPI# 1104326834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104326834 |
| Entity Type | Individual |
| Full Name | BRENDA SNOW JACOBS |
| Practice Address |
147 Summerfield Dr Mcdonough GA 30253-5308 |
| Practice Telephone | 6786006704 |
| Mailing Telephone | 6786006704 |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2018-02-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477753051 | Brenda Lee Jacobs | Pharmacist | 2500 Us Hwy 14, Janesville, WI 53545-0309 | 2007-07-20 |
| 1083682371 | Brenda Penny Jacobs | Obstetrics & Gynecology | 3550 Linden Ave, Suite #1, Long Beach, CA 90807-4577 | 2006-03-10 |
| 1720111990 | Brenda Joyce Jacobs | Nurse Practitioner | 145 W Waterman St, Dumas, AR 71639-2139 | 2007-03-14 |
| 1538138599 | Brenda L Jacobs | Nurse Practitioner | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2006-03-14 |
| Street Address |
147 SUMMERFIELD DR |
| City | MCDONOUGH |
| State | GA |
| Zip Code | 30253-5308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565159 | First Choice Home Health Care LLC | In Home Supportive Care | 600 Westridge Parkway, Suite 707, Mcdonough, GA 30253 | 2020-10-15 |
| 1164033783 | Tanequa S Dorsey | Counselor | 40 Macon Street, Suite D, Mcdonough, GA 30253 | 2020-08-17 |
| 1396369195 | Ikponmwosa Obakpolor | Physical Therapist | 234 Village Drive, Mcdonough, GA 30253 | 2020-06-08 |
| 1205392305 | Healthstat Onsite Clinic-henry County | Preventive Medicine | 141 Henry Parkway, Healthstat Clinic, Mcdonough, GA 30253 | 2019-02-13 |
| 1588128557 | Vernette R Mathurin | Licensed Practical Nurse | 97 Atl Street Suite 100, Mcdonough, GA 30253 | 2019-01-24 |
| 1083196836 | Peta-gaye C Pilote | Registered Nurse | 319 Regal Way E, Mcdonough, GA 30253 | 2018-08-29 |
| 1275021586 | Heritage Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 155 Westridge Pkwy Ste 217, Mcdonough, GA 30253 | 2018-04-23 |
| 1457853236 | Sherrille Greene | Counselor | 609 Autumn Leaf Circle, Mcdonough, GA 30253 | 2018-03-07 |
| 1376052696 | Kendra Oreggio | Private Vehicle | 117 Janney Circle, Mcdonough, GA 30253 | 2017-09-29 |
| 1245758788 | Pamela Hobbs | Home Health Aide | 5011 Monarch Dr, Mcdonough, GA 30253 | 2017-09-05 |
| Find all providers in zip 30253 | ||||
| Taxonomy Code | 385HR2060X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689203952 | Shirley Ann Byrd | Respite Care | 45 Lake Shore Blvd, Savannah, GA 31407-3612 | 2020-04-07 |
| 1518447978 | Mk In Home Care Services | Respite Care | 241 Hillcrest Dr, Stockbridge, GA 30281-1762 | 2018-08-15 |
| 1922545805 | Joyous Care LLC | Respite Care | 1926 Oglesby Bridge Rd Sw, Conyers, GA 30094-4239 | 2017-01-30 |
| 1760924278 | Diversified Personal Home Care | Respite Care | 145 Mcintosh Place Dr, Fayetteville, GA 30214-7318 | 2016-11-15 |
| 1538539093 | Southerland Clark Enterprises LLC | Respite Care | 315 N. Louisville St., Harlem, GA 30814 | 2015-09-28 |
| 1356682629 | Stacey Ross | Respite Care | 7218 Crestside Dr, Austell, GA 30168-7022 | 2013-03-11 |
| 1326385956 | Best Care Group Home Inc. | Respite Care | 1359 Edgewood Ave, Douglas, GA 31533-4543 | 2013-01-16 |
| 1558612374 | Care Wind Place, Inc | Respite Care | 2895 Jordan Ave, Macon, GA 31217-4919 | 2012-09-20 |
| 1730439159 | Comfort Zone Personal Care Home LLC | Respite Care | 485 Frog Rd, Locust Grove, GA 30248-3505 | 2012-09-13 |
| 1902121809 | Grace Healthcare Services Inc | Respite Care | 1010 Slater Street, Valdosta, GA 31601 | 2010-04-02 |
| 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.