PEACEFUL MANOR RETIREMENT HOME (NPI# 1134304819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134304819 |
| Entity Type | Organization |
| Organization Name | PEACEFUL MANOR RETIREMENT HOME |
| Practice Address |
2412 Cardinal St Albany GA 31701-1161 |
| Practice Telephone | 2294382029 |
| Practice Fax Number | 2294382029 |
| Mailing Telephone | 2294382029 |
| Mailing Fax Number | 2294382029 |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2008-11-05 |
| Authorized Official Name | MR. JOHNNY LITMAN (ADMINISTRATOR) |
| Authorized Official Telephone | 2294382029 |
| Authorized Official Credential | DOCTORATE DEGREE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | GA | Nursing & Custodial Care Facilities |
| Street Address |
2412 CARDINAL ST |
| City | ALBANY |
| State | GA |
| Zip Code | 31701-1161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124678347 | Carehere LLC | Family Medicine | Carehere Clinic- City of Albany, Ga, 2000 North Monroe Street, Albany, GA 31701 | 2019-09-19 |
| 1801450788 | Amy Brock | Nurse Practitioner | 417 4th Avenue, Albany, GA 31701 | 2019-04-26 |
| 1346740131 | Kawana Kesia Mullins | Contractor | 1103 S Davis St, Albany, GA 31701 | 2018-02-19 |
| 1689198558 | Marion Elizabeth Toscano | Counselor | 226 South Jefferson Street, Frederick, MD 31701 | 2017-08-01 |
| 1871014803 | Mann Dental Care LLC | Clinic/Center | 1403 South Slappey Blvd, Albany, GA 31701 | 2017-06-29 |
| 1457716805 | Amanda Banks Thomas | Advanced Practice Midwife | 803 13th Avenue, Albany, GA 31701 | 2015-12-29 |
| 1265805212 | David Lee Berry Jr. | Counselor | 230 South Jackson Street, Suite 228 & 229, Albany, GA 31701 | 2015-11-12 |
| 1750725099 | Charles Jacob Stoudenmire | Pathology | 507 W 3rd Ave Ste 7, Albany, GA 31701 | 2013-04-17 |
| 1700188232 | Wendy Summer Willis | Podiatrist | 531 Seventh Avenue, Albany, GA 31701 | 2010-12-05 |
| 1760615413 | Nicholas L Misulia | Anesthesiology | 417 Third Avenue, Albany, GA 31701 | 2009-08-28 |
| Find all providers in zip 31701 | ||||
| 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 |
|---|---|---|---|---|
| 1255959821 | Northwest Hc Cambridge Terrace (or) Operator Nt-hci, LLC | Assisted Living Facility | 2800 14th Ave Se, Albany, OR 97322-7079 | 2020-07-10 |
| 1942714605 | Shirley Ann Williams | Assisted Living Facility | 900 W Residence Ave, Albany, GA 31701-1783 | 2017-11-16 |
| 1215195052 | A C Meadows | Assisted Living Facility | 2121 Martin Luther King Jr Dr Bldg B, Albany, GA 31701-4112 | 2008-05-29 |
| 1366609844 | Pines Personal Care Home IIi Als | Assisted Living Facility | 2121 Martin Luther King Jr Dr Bldg C, Albany, GA 31701-4112 | 2008-05-21 |
| 1629235106 | Pines Personal Care Home II Als | Assisted Living Facility | 2121 Martin Luther King Jr Dr Bldg D, Albany, GA 31701-4112 | 2008-05-21 |
| 1164689915 | Pines Personal Care Home, Inc. | Assisted Living Facility | 2121 Martin Luther King Jr Dr Bldg A, Albany, GA 31701-4112 | 2008-05-20 |
| 1609072131 | Family Extended Care of Albany, Inc. | Assisted Living Facility | 2821 Gillionville Rd, Albany, GA 31721-2951 | 2007-06-22 |
| 1740495464 | Mcauley Living Services Inc. | Assisted Living Facility | 308 S Manning Blvd, Albany, NY 12208-1708 | 2007-05-14 |
| 1831316439 | Magnolia Place, Inc. | Assisted Living Facility | 6430 Newton Rd, Albany, GA 31721-5627 | 2007-04-18 |
| 1437372844 | The Madison | Assisted Living Facility | 501 S Madison St, Albany, GA 31701-3113 | 2007-04-11 |
| Find all providers in ALBANY | ||||
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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.