CLARA'S HOME HEALTHCARE INSTITUTE (NPI# 1104431758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104431758 |
Entity Type | Organization |
Organization Name | CLARA'S HOME HEALTHCARE INSTITUTE |
Practice Address |
3469 Henley St Rex GA 30273-1758 |
Practice Telephone | 6787839696 |
Practice Fax Number | 4043901242 |
Mailing Telephone | 6787839696 |
Mailing Fax Number | 4043901242 |
Enumeration Date | 2020-09-10 |
Last Update Date | 2020-09-10 |
Authorized Official Name | MS. NANEKA S KENNON PAM (OWNER) |
Authorized Official Telephone | 6787839696 |
Authorized Official Credential | RN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251E00000X | Home Health | Agencies | ||
Y | 251J00000X | Nursing Care | Agencies |
Other Name | Type Code |
---|---|
Clara's Healthcare | Doing Business As Name - Organization |
Clara's Home Healthcare Institute dba Clara's Healthcare | Doing Business As Name - Organization |
Street Address |
3469 HENLEY ST |
City | REX |
State | GA |
Zip Code | 30273-1758 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265062335 | Naneka S Kennon Pam | Registered Nurse | 3469 Henley St, Rex, GA 30273-1758 | 2020-01-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043720246 | Never Forgotten Transportation | Non-emergency Medical Transport (VAN) | 6113 Heisler St, Rex, GA 30273 | 2017-10-03 |
1235668682 | Berthina Gaynell Weaver | Licensed Practical Nurse | 5820 Rex Ridge Loop, Rex, GA 30273 | 2017-06-08 |
1114399573 | Donnita Rountree | Counselor | 6297 Ellenwood Drive, Rex, GA 30273 | 2015-10-26 |
1811378433 | Jillian Simpson | Nurse's Aide | 6668 Biscayne Blvd, Rex, GA 30273 | 2015-06-10 |
1528478864 | Denise Elecia Lyn-bradley | Counselor | 156 Hayes Circle, Rex, GA 30273 | 2014-05-07 |
1699943936 | First Opportunity Home Healthcare,llc. | Home Health | 3113 Caliente Ln, Rex, GA 30273-1002 | 2008-02-20 |
1558370288 | Lynne D Scott | Marriage & Family Therapist | 6188 Highway 42, Rex, GA 30273-1028 | 2006-08-05 |
1538451083 | Ralph Bernard Willliams | Counselor | 6188 Highway 42, Rex, GA 30273-1028 | 2011-05-03 |
1780639518 | Jovans Pharmacy Corp | Pharmacy | 6001 Highway 42, Rex, GA 30273-1030 | 2006-05-23 |
1548560964 | Hope & Grace, LLC | Community Based Residential Treatment Facility, Mental Illness | 5860 Ronnie Dr, Rex, GA 30273-1060 | 2010-11-01 |
Find all providers in zip 30273 |
Taxonomy Code | 251J00000X |
Grouping | Agencies |
Classification | Nursing Care |
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134561897 | Instructive Visiting Nurse Service, LLC | Nursing Care | 6728 Chesepeake Trl, Rex, GA 30273-2229 | 2013-07-23 |
1063853364 | Cmo of Georgia, LLC | Nursing Care | 6728 Chesepeake Trl, Rex, GA 30273-2229 | 2013-07-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942800115 | Recarlo King | Nursing Care | 1863 Clay Rd Sw, Mableton, GA 30126-1100 | 2020-10-27 |
1205435575 | Angelic Touch Cares, LLC | Nursing Care | 1705 Bertram Ln Sw, Marietta, GA 30008-4141 | 2020-10-19 |
1730787136 | Lucienne Home Care LLC | Nursing Care | 2407 Hi Roc Rd Ne, Conyers, GA 30012-2541 | 2020-10-16 |
1609482793 | Express Yourself, LLC | Nursing Care | 5141 Wellsley Bnd, Alpharetta, GA 30005-5067 | 2020-09-23 |
1952917106 | Chosen Healthcare Services, LLC | Nursing Care | 818 Panola Rd, Ellenwood, GA 30294-3034 | 2020-09-22 |
1578179313 | Standard Homecare of Augusta,llc | Nursing Care | 4583 Coldwater St, Grovetown, GA 30813-4065 | 2020-09-17 |
1033724638 | Jennifer Melton | Nursing Care | 1888 Hollywood Rd Nw Unit 7401, Atlanta, GA 30318-3206 | 2020-09-10 |
1710591425 | Sharon Mckenzie | Nursing Care | 2203 Cumberland Pkwy Se Unit 401, Atlanta, GA 30339-4513 | 2020-09-01 |
1831703636 | Uniqueangleshomecareservices | Nursing Care | 257 Maner Ter Se, Atlanta, GA 30339-1930 | 2020-08-31 |
1235741489 | Saegcyhealthcare | Nursing Care | 1301 Westwood Dr Apt G, Albany, GA 31721-6237 | 2020-08-19 |
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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.