SOUTHERN HEARTS HOMECARE OF GEORGIA INC (NPI# 1104390095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104390095 |
| Entity Type | Organization |
| Organization Name | SOUTHERN HEARTS HOMECARE OF GEORGIA INC |
| Practice Address |
200 Jasmine Way Bonaire GA 31005-3512 |
| Practice Telephone | 4787872410 |
| Mailing Telephone | 4787872410 |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-02-04 |
| Authorized Official Name | NIKYA SMITH (INCORPORATOR) |
| Authorized Official Telephone | 4787872410 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
200 JASMINE WAY |
| City | BONAIRE |
| State | GA |
| Zip Code | 31005-3512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669010211 | Christine Anne Hasbrouck | Nurse Practitioner | 257 Southfiled Court, Bonaire, GA 31005 | 2019-12-13 |
| 1518478023 | Cathleen Ann Cleary | Psychiatry & Neurology | 106 Julee Emilyn Drive, Bonaire, GA 31005 | 2017-10-24 |
| 1780107060 | Laura Lenhard Frawley | Nurse Practitioner | 220 Cardiff Court, Bonaire, GA 31005 | 2017-07-19 |
| 1891156758 | Southern Bridge Counseling, LLC | Community/Behavioral Health | 3100 Moody Rd, Ste. A, Bonaire, GA 31005 | 2016-03-18 |
| 1104203926 | Georgia Chiropractic and Wellness LLC | Chiropractor | 100 Stillwater Circle, Suite C, Bonaire, GA 31005 | 2015-04-30 |
| 1891197067 | Ashlee Zackeru Chafin | Nurse Anesthetist, Certified Registered | 706 Summer Ct, Bonaire, GA 31005 | 2014-09-19 |
| 1699199018 | Michelle Marie Allen | Nurse Practitioner | 774 Ga Hwy 96, Bonaire, GA 31005 | 2014-02-05 |
| 1437597168 | Lana Alden Dellinger | Physical Therapist | 101 Stillwater Circle, Bonaire, GA 31005 | 2013-06-04 |
| 1215154810 | Joseph F Mcdaniel | Pharmacist | 785 Hwy 96, Bonaire, GA 31005 | 2007-04-18 |
| 1932229242 | Marla Winge Baltz | Pharmacist | 785 Hwy. 96, Bonaire, GA 31005 | 2007-03-30 |
| Find all providers in zip 31005 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164664678 | Angel's Home Health Care | In Home Supportive Care | 102 Jupiter Ln, Bonaire, GA 31005-3338 | 2009-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740356 | Charlies Angels Care Corp | In Home Supportive Care | 525 W Broad St, Twin City, GA 30471-4187 | 2020-11-05 |
| 1316547433 | Xl Promise Home Care LLC | In Home Supportive Care | 102 Highland Park Trl, Sandy Springs, GA 30350-3392 | 2020-10-28 |
| 1639779960 | Caring House Home Care Services, LLC | In Home Supportive Care | 1100 Pittsburgh Ave, White Plains, GA 30678 | 2020-10-27 |
| 1518565159 | First Choice Home Health Care LLC | In Home Supportive Care | 600 Westridge Parkway, Suite 707, Mcdonough, GA 30253 | 2020-10-15 |
| 1871100123 | Angella Miller | In Home Supportive Care | 326 Carrington Ln, Douglasville, GA 30135-6712 | 2020-09-29 |
| 1366059222 | Esther Home Care Services LLC | In Home Supportive Care | 3153 Chapel Rd Nw, Kennesaw, GA 30144-4203 | 2020-09-25 |
| 1538776570 | Superior Home Care Services, LLC | In Home Supportive Care | 2242 Young America Dr, Lawrenceville, GA 30043-8011 | 2020-09-24 |
| 1548876816 | Dwe-bah Home Care LLC. | In Home Supportive Care | 1991 Roxey Ln, Winder, GA 30680-6124 | 2020-09-21 |
| 1174138416 | Crossley Seniorcare LLC | In Home Supportive Care | 4321 S Lee St Ste 400, Buford, GA 30518-5776 | 2020-09-14 |
| 1427662634 | V E Health Services LLC | In Home Supportive Care | 3164 Town and Country Road, Donalsonville, GA 39845 | 2020-09-04 |
| 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.