AGNES ELDERLY CARE SITTER SERVICES AGENCY


Address: 3517 Brockdale Dr, Augusta, GA 30906-8991
Phone: 7069227993

AGNES ELDERLY CARE SITTER SERVICES AGENCY (NPI# 1144595596) 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) 1144595596
Entity Type Organization
Organization Name AGNES ELDERLY CARE SITTER SERVICES AGENCY
Practice Address 3517 Brockdale Dr
Augusta
GA 30906-8991
Practice Telephone 7069227993
Mailing Telephone 7069227993
Enumeration Date 2012-03-19
Last Update Date 2012-03-19
Authorized Official Name MR. BERNARD EDWARD MCRAE (OWNER/ADMINISTRATOR)
Authorized Official Telephone 7065042380
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 253Z00000X In Home Supportive Care LCB20120000162 GA Agencies
Y 253Z00000X In Home Supportive Care 17665 SC Agencies

Office Location

Street Address 3517 BROCKDALE DR
City AUGUSTA
State GA
Zip Code 30906-8991

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1194186031 Clifton Nane Williams Counselor 3230 Hampton Circle, Augusta, GA 30906 2016-03-18
1376929661 Catherine A. Ganzy Social Worker 3405 Mike Padgett Highway; Building 201, East Central Regional Hosptial, Augusta, GA 30906 2015-08-10
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1366739021 Kerensa A Cooks Registered Nurse 3421 Mike Padgett Highway, Serenity Behavioral Health Systems, Augusta, GA 30906 2011-07-01
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Taxonomy Information

Taxonomy Code 253Z00000X
Grouping Agencies
Classification In Home Supportive Care

Taxonomy Definition

An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679100275 Prosper Augusta, LLC In Home Supportive Care 1287 Marks Church Rd Ste A, Augusta, GA 30909-2497 2020-03-24
1528515517 Seed To Grow LLC In Home Supportive Care 3091 Parrish Rd Apt F, Augusta, GA 30907-0374 2016-09-07
1083168827 The Home Care Group LLC In Home Supportive Care 1915 Walton Way, Augusta, GA 30904-4117 2016-08-10
1548626930 The Pathway Agency In Home Supportive Care 1378 Laney Walker Blvd Ste 103, Augusta, GA 30901-2763 2016-01-14
1710360516 Scarc, Inc. In Home Supportive Care 11 Us Highway 206 Ste 100, Augusta, NJ 07822-2032 2015-06-30
1740616150 Angelic Hands Adult Sitting Services In Home Supportive Care 2509 Smoketree Rd, Augusta, GA 30906-5976 2013-09-17
1457690745 Rehab Without Walls, Inc. In Home Supportive Care 820 St Sebastin Way Se, Augusta, GA 30901 2013-02-06
1932413127 Addus Healthcare (south Carolina), Inc. In Home Supportive Care 149 Davis Rd, Suite D, Augusta, GA 30907-5072 2010-07-30
1275762627 Ann Broughton In Home Supportive Care 1087 Lamson Rd, Augusta, ME 04330-8557 2009-07-07
1396971073 Bransford LLC In Home Supportive Care 1830 Walton Way, Augusta, GA 30904-3875 2009-06-08
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City AUGUSTA
Zip Code 30906

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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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