OPTIMUM HEALTH SKILLS NURSING SERVICES LLC. (NPI# 1134402233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134402233 |
| Entity Type | Organization |
| Organization Name | OPTIMUM HEALTH SKILLS NURSING SERVICES LLC. |
| Practice Address |
1428 Avington Glen Dr Lawrenceville GA 30045-3541 |
| Practice Telephone | 6789141300 |
| Practice Fax Number | 5016412706 |
| Mailing Telephone | 6789141300 |
| Mailing Fax Number | 5016412706 |
| Enumeration Date | 2011-09-25 |
| Last Update Date | 2011-09-25 |
| Authorized Official Name | SHERLEY JUSSOME (OWNER) |
| Authorized Official Telephone | 6789141300 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 2011017922 | GA | Nursing & Custodial Care Facilities |
| Street Address |
1428 AVINGTON GLEN DR |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30045-3541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
| 1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
| 1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
| 1346668662 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 601-a Professional Drive, Ste 170, Lawrenceville, GA 30045 | 2014-04-03 |
| 1598102733 | Selena Fuller | Nurse Practitioner | 181 South Clayton Street, Lawrenceville, GA 30045 | 2013-05-29 |
| 1942555982 | Vida Michele James-bryant | Community Health Worker | 1309 Avington Glen Dr, Lawrenceville, GA 30045 | 2012-07-16 |
| 1770840639 | Rebecca Vinson D'angelo | Occupational Therapist | 1518 Great Shoals Cir, Lawrenceville, GA 30045 | 2012-04-17 |
| 1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
| 1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| Find all providers in zip 30045 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1316961741 | Ruxton Health Care Xiii, LLC | Skilled Nursing Facility | 1722 Lawrenceville Plank Rd, Lawrenceville, VA 23868-3351 | 2006-07-27 |
| 1295768950 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 3850 Safehaven Dr, Lawrenceville, GA 30044-4042 | 2006-07-08 |
| 1700819216 | Miller Healthcare LLC | Skilled Nursing Facility | 112 Franklin Corner Rd, Lawrenceville, NJ 08648-2104 | 2006-07-08 |
| 1356374011 | Gwinnett Operations, LLC | Skilled Nursing Facility | 210 Collins Industrial Way, Lawrenceville, GA 30043-5450 | 2006-07-08 |
| 1255327862 | Delmar Gardens of Gwinnett Operating, LLC | Skilled Nursing Facility | 3100 Club Dr, Lawrenceville, GA 30044-2591 | 2005-09-20 |
| 1285636431 | Morris Hall St. Lawrence Inc. | Skilled Nursing Facility | One Bishops' Dr, Lawrenceville, NJ 08648 | 2005-06-01 |
| 1528508496 | United Methodist Village South Campus | Skilled Nursing Facility | 1616 Cedar St, Lawrenceville, IL 62439-2154 | 2017-02-27 |
| 1437699303 | United Methodist Village North Campus | Skilled Nursing Facility | 2101 James St, Lawrenceville, IL 62439-2027 | 2017-02-27 |
| 1225436215 | 112 Franklin Corner Road Operating Company LLC | Skilled Nursing Facility | 112 Franklin Corner Rd, Lawrenceville, NJ 08648-2104 | 2014-12-08 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
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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.