MELLIN JEAN OGLESBY (NPI# 1134770068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134770068 |
| Entity Type | Individual |
| Full Name | MELLIN JEAN OGLESBY |
| Practice Address |
3378 Thames Pl Hephzibah GA 30815-7176 |
| Practice Telephone | 6193165905 |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2019-09-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
3378 THAMES PL |
| City | HEPHZIBAH |
| State | GA |
| Zip Code | 30815-7176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679091458 | Specialized Healthcare Services Inc | In Home Supportive Care | 2920 Tobacco Road, Suit A, Hephzibah, GA 30815 | 2017-08-31 |
| 1144747437 | Willie Mae Berry Pugh | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2013 Teal Court, Hephzibah, GA 30815 | 2017-08-28 |
| 1811448319 | Butterfly Gardens Hospice & Palliative Care | Hospice, Inpatient | 3112 Blackmon Court, Hephzibah, GA 30815 | 2016-10-19 |
| 1841651098 | Michelle Sherrie Coleman | Home Health Aide | 2708 Bob White Court, Hephzibah, GA 30815 | 2016-03-16 |
| 1285046409 | Allison Dionne Harden Bostic | Nurse's Aide | 1557 Brown Rd, Hephzibah, GA 30815 | 2014-05-22 |
| 1568802353 | Daryl Wolf | Chiropractor | 2742 Willis Foreman Rd., Hephzabah, GA 30815 | 2013-06-26 |
| 1336467547 | Gussie Holmes Lawson | Adult Companion | 2412 Orchard Dr., Hephzibah, GA 30815 | 2010-05-12 |
| 1275864811 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2232 Montcrief Drive, Hephzibah, GA 30815 | 2010-01-21 |
| 1376878801 | Freeman's Second Time Around Healthcare Services | Home Health | 2716 Castletown Dr, Hephzibah, GA 30815 | 2009-10-16 |
| 1205028545 | Tonia Lynn Manley | Licensed Practical Nurse | 38th Street Building 38707, Fort Gordon, GA 30815 | 2007-08-10 |
| Find all providers in zip 30815 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275157216 | Janye Wyche | Technician | 1619 Jonathan Pl, Hephzibah, GA 30815-6957 | 2020-06-05 |
| 1285283077 | John Ingardia | Technician | 2207 Altman Way, Hephzibah, GA 30815-5689 | 2019-09-05 |
| 1770132540 | Leonard Gerald Greene Jr. | Technician | 3825 Fairington Dr, Hephzibah, GA 30815-6100 | 2019-09-05 |
| 1194372565 | Nora Briggs Brooks | Technician | 4858 Ken Miles Dr, Hephzibah, GA 30815-6085 | 2019-08-21 |
| 1164069704 | Rochelle Ingardia | Technician | 2207 Altman Way, Hephzibah, GA 30815-5689 | 2019-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214183 | Julia Mcenhill | Technician | 10 Evonshire Dr, Sharpsburg, GA 30277-3266 | 2020-10-28 |
| 1497352884 | Ernestine Atwater | Technician | 1962 Twin Falls Rd, Decatur, GA 30032-6070 | 2020-10-08 |
| 1952916207 | Nitza Chea Bishop | Technician | 151 Chulio Rd Se, Rome, GA 30161-8496 | 2020-09-14 |
| 1174137822 | Nettie Pearl Smith | Technician | 2919 Lonesome Rd, Albany, GA 31721-5644 | 2020-09-01 |
| 1255943478 | David Williams Jr. | Technician | 126 Thompson St, Cusseta, GA 31805-3945 | 2020-08-19 |
| 1750992913 | Phyllis Denise Haynes | Technician | 1111 Glenwood Ln, Bogart, GA 30622-2396 | 2020-08-12 |
| 1306464037 | Vickie Moore | Technician | 1639 Breeds Hill Loop, Columbus, GA 31907-7430 | 2020-07-09 |
| 1275150542 | Quindeic Rhones | Technician | 2556 Miles St, Augusta, GA 30906-5326 | 2020-07-02 |
| 1083231476 | Martha Crawford | Technician | 593 Crawford St Se, Dawson, GA 39842-2041 | 2020-07-01 |
| 1356967350 | Gloria Foster | Technician | 8643 Crenshaw Dr, Grovetown, GA 30813-8322 | 2020-06-25 |
| 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.