SOUTHERN COMFORT LIVING PERSONAL CARE HOME (NPI# 1174137277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174137277 |
Entity Type | Organization |
Organization Name | SOUTHERN COMFORT LIVING PERSONAL CARE HOME |
Practice Address |
604 Sugarbush Cir Savannah GA 31406-4434 |
Practice Telephone | 9129969261 |
Mailing Telephone | 9129969261 |
Enumeration Date | 2020-09-04 |
Last Update Date | 2020-09-04 |
Authorized Official Name | MS. JACQUELINE DINGLE (OWNER) |
Authorized Official Telephone | 9129969261 |
Authorized Official Credential | B.A. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518564608 | Southern Comfort Living Personal Care Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 604 Sugarbush Cir, Savannah, GA 31406-4434 | 2020-10-02 |
Street Address |
604 SUGARBUSH CIR |
City | SAVANNAH |
State | GA |
Zip Code | 31406-4434 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750995155 | Jacqueline Dingle | Custodial Care Facility | 604 Sugarbush Cir, Savannah, GA 31406-4434 | 2020-09-02 |
1518564608 | Southern Comfort Living Personal Care Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 604 Sugarbush Cir, Savannah, GA 31406-4434 | 2020-10-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
Find all providers in zip 31406 |
Taxonomy Code | 320900000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1891181335 | First Lady Residential Service LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 401 Barnhill Dr, Savannah, GA 31406-5912 | 2015-04-10 |
1790032480 | Service Provider Solutions, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1224 Charleston Ln, Savannah, TX 76227-7819 | 2012-08-13 |
1497015366 | Jasmine Personal Care Home, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 25 Canterbury Cir, Savannah, GA 31419-2700 | 2012-05-24 |
1689997496 | Encare, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1725 E 32nd St, Savannah, GA 31404-2333 | 2010-03-08 |
1992839567 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1221 E. 59th Street, Savannah, GA 31404 | 2007-03-15 |
1720111040 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 148 Sea Palms Road, Savannah, GA 31410 | 2007-03-14 |
1770616104 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 121 Palmetto Bay Rd, Savannah, GA 31410-2642 | 2007-03-14 |
1215060918 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6729 Key Street, Savannah, GA 31406 | 2007-03-13 |
1043343015 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12509 Bridlewood Dr, Savannah, GA 31419-2639 | 2007-03-13 |
Find all providers in SAVANNAH |
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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.