BLACKLAND HOME CARE, LLC (NPI# 1215239710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215239710 |
| Entity Type | Organization |
| Organization Name | BLACKLAND HOME CARE, LLC |
| Practice Address |
177 Ennisbrook Dr Se Smyrna GA 30082-2451 |
| Practice Telephone | 6788238155 |
| Practice Fax Number | 6788238156 |
| Mailing Telephone | 6788238155 |
| Mailing Fax Number | 6788238156 |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2010-12-03 |
| Authorized Official Name | MR. KEVIN P HANNAN (DIRECTOR) |
| Authorized Official Telephone | 4045189522 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | RN 188675 | GA | Agencies |
| Street Address |
177 ENNISBROOK DR SE |
| City | SMYRNA |
| State | GA |
| Zip Code | 30082-2451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528600335 | Arden Constance Mobley | Occupational Therapist | 3200 Highlands Parkway Suite 150, Smyrna, GA 30082 | 2019-10-14 |
| 1386185916 | Nicholas Andrews | Behavior Technician | 5034 Laurel Bridge, Smyrna, GA 30082 | 2017-03-15 |
| 1518331362 | Shannon Wilkerson | Counselor | 3040 Highlands Pkwy, Ste G, Smyrna, GA 30082 | 2015-11-17 |
| 1235529611 | Frances Offiah Idowu | Nurse Practitioner | 3240 South Cobb Drive, Smyrna, GA 30082 | 2015-01-23 |
| 1053717850 | Deena Altman Spital | Physician Assistant | 400 Technology Ct, Suite J, Smyrna, GA 30082 | 2014-11-06 |
| 1487964193 | Revive Athletics, Inc | Counselor | 460 Bourne Drive, Smyrna, GA 30082 | 2010-10-15 |
| 1386956746 | Kalpit C Patel | Family Medicine | 4480 N Cooper Lake Rd Se Ste 100, Smyrna, GA 30082 | 2010-07-13 |
| 1285826800 | David Goziem Nwabunor | Emergency Medicine | 415 Oak Brook Ct Se, Smyrna, GA 30082 | 2007-08-16 |
| 1437357373 | Amit M Patel | Plastic Surgery | 3968 Felton Hill Rd Sw, Ste 100, Smyrna, GA 30082 | 2007-07-03 |
| 1225103849 | Daniel C Norris Dds PC | Dentist | 620 Concord Rd, Smyrna, GA 30082 | 2006-11-21 |
| Find all providers in zip 30082 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588282560 | Christacare, LLC | Home Health | 195 Chicken Pike, Smyrna, TN 37167-5059 | 2020-07-07 |
| 1245877950 | Five Points Healthcare of Ga LLC | Home Health | 2400 Lake Park Dr Se Ste 160, Smyrna, GA 30080-8986 | 2019-12-02 |
| 1093363509 | Blissful Healthcare | Home Health | 1245 Creekside Pl Se, Smyrna, GA 30082-4883 | 2019-08-28 |
| 1841665403 | Akr Enterprise Inc | Home Health | 2048 Caladonia Way, Smyrna, TN 37167-4030 | 2015-12-08 |
| 1912310533 | Primary Therapy Services LLC | Home Health | 601 Woodhaven Drive, Smyrna, TN 37167 | 2014-06-11 |
| 1952671711 | Cindys Elderly Care Inc. | Home Health | 1308 Springbrook Trl Se, Smyrna, GA 30082-3176 | 2012-01-10 |
| 1174834998 | Dinwiddie Home Healthcare LLC | Home Health | 3050 Spring Hill Pkwy Se, H, Smyrna, GA 30080-6007 | 2010-06-25 |
| 1447417639 | Suncrest Home Health of Georgia, Inc | Home Health | 2400 Lake Park Dr Se Ste 140, Smyrna, GA 30080-8982 | 2008-05-16 |
| 1164609921 | Mcpherson Health and Rehabilitation | Home Health | 1254 Concord Rd Se Ste 204, Smyrna, GA 30080-4371 | 2008-01-23 |
| 1669664678 | Quality Care First | Home Health | 4016 Snowbird Dr, Smyrna, TN 37167-7554 | 2007-08-14 |
| Find all providers in SMYRNA | ||||
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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.