COMMUNITY CARE HOME INC.


Address: 659 Wilmont Dr, Jonesboro, GA 30238-4834
Phone: 4043753655

COMMUNITY CARE HOME INC. (NPI# 1134420516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134420516
Entity Type Organization
Organization Name COMMUNITY CARE HOME INC.
Practice Address 659 Wilmont Dr
Jonesboro
GA 30238-4834
Mailing Address 2045 Mount Zion Rd # 373
Morrow
GA 30260-3313
Practice Telephone 4043753655
Practice Fax Number 4042098131
Mailing Telephone 4043753655
Mailing Fax Number 4042098131
Enumeration Date 2010-11-16
Last Update Date 2012-05-24
Authorized Official Name CATHY BURKE (OWNER)
Authorized Official Telephone 4043753644
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 060013141 GA Residential Treatment Facilities

Office Location

Street Address 659 WILMONT DR
City JONESBORO
State GA
Zip Code 30238-4834

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871894568 Trinity Connections Consultants, LLC Residential Treatment Facility, Physical Disabilities 659 Wilmont Dr, Jonesboro, GA 30238-4834 2010-11-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366969636 K&p Gentle Hnads Homecare Home Health 772 Pointe South Pkwy, Apt. 501, Jonesboro, GA 30238 2017-08-27
1568991214 Rehab Medical, Inc Durable Medical Equipment & Medical Supplies 8568 Highway 85, Jonesboro, GA 30238 2017-06-07
1821472077 Surgivue First Assisting Nurse Practitioner 5865 Sinclair Way, Jonesboro, GA 30238 2015-07-17
1518384106 Visions of Life Behavioral Health Services, Incorporated Counselor 754 Chapman Street, Jonesboro, GA 30238 2014-03-21
1942560206 Terri L Lee Counselor 7899 Waterwheel Way, Jonesboro, GA 30238 2012-05-21
1265704985 Visiting Homecare Support Services, Inc. Home Health 10886 Tara Village Way, Jonesboro, GA 30238 2012-01-27
1518297175 Heavenly Assisted Care, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 10555 Aspenwood Ct, Jonesboro, GA 30238 2010-01-05
1649419821 Carmen Melton Douglas Speech-Language Pathologist 10354 Shepperton Court, Jonesboro, GA 30238 2009-02-12
1205050259 Caryn Ann Grzesiakowski Chiropractor 809 Flint River Road, Suite #4, Jonesboro, GA 30238 2007-04-12
1548325483 Janet Musser Granski Social Worker 110 North Bend Court, Jonesboro, GA 30238 2006-12-22
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750907374 Childrens Learning Team Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3700 Kristi Lake Dr Apt D11, Jonesboro, AR 72404-8373 2020-06-19
1427478890 Fincare United, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 9442 S Main St, Suite 109, Jonesboro, GA 30236-8710 2014-04-23
1801186945 Laties, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 9618 Brown Rd, Jonesboro, GA 30238-5966 2011-04-11
1407159585 Crown Personal Care Home Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 891 Stormy Ln, Jonesboro, GA 30238-5984 2010-12-13
1235439068 Residential Living, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 7861 Collinswood Ct, Jonesboro, GA 30236-3399 2010-10-27
1962719427 Guiding Hand Perssonal Care Home Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8259 Valley Stream Dr, Jonesboro, GA 30236-3825 2010-09-04
1861905374 Abc Healthcare of America, LLC. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 6568a Tara Blvd, Jonesboro, GA 30236-1228 2017-11-07
1437449154 Peaceful Harmony Homes Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 10649 Tara Village Way, Jonesboro, GA 30238-7963 2011-04-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790385862 Hickory Log Vocational School Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3680 Highway 411 Ne, White, GA 30184-2427 2020-10-28
1801403050 Safe Haven Personal Care Home Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 10875 Abercorn St Apt 132, Savannah, GA 31419-1843 2020-09-30
1659987931 Pinkies Place Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 216 Self St, Warner Robins, GA 31088-5506 2020-09-22
1629680293 Caregiver Ga, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3736 Executive Center Dr Ste B, Augusta, GA 30907-2360 2020-08-17
1730799073 Victory Won Counseling and Res Care Prof. Corp Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5014 Snapfinger Woods Dr, Decatur, GA 30035-4003 2020-08-02
1811528649 Unison Behavioral Health Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 211 North Street, Douglas, GA 31533 2020-01-30
1619519709 Gateway Behavioral Health Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 516 Freedom Trl, Brunswick, GA 31525-4712 2019-10-10
1215581756 Elegant Lm Management, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1020 Meadowsong Circle, Lawrenceville, GA 30043 2019-08-01
1467013821 Csb of East Central Ga Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5101 Parnell Way, Martinez, GA 30907-8896 2019-06-26
1013474915 Community Service Board of East Central Georgia Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1715 Lawerence Rd, Hephzibah, GA 30815-4445 2019-02-27
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Competitor

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City JONESBORO
Zip Code 30238

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Dataset Information

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.

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