LIFETIME PERSONAL CARE HOME, LNC. (NPI# 1235537499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235537499 |
Entity Type | Organization |
Organization Name | LIFETIME PERSONAL CARE HOME, LNC. |
Practice Address |
40 Auburn Park Drive Auburn GA 30011 |
Mailing Address |
40 Auburn Park Dr Auburn GA 30011-3643 |
Practice Telephone | 6789850456 |
Mailing Telephone | 6789850456 |
Enumeration Date | 2014-12-19 |
Last Update Date | 2014-12-19 |
Authorized Official Name | ADEDOYIN VICTORIA AYENI (ADMINISTRATOR) |
Authorized Official Telephone | 6789850456 |
Authorized Official Credential | ASSOCAITE |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 067-R-0355 | GA | Agencies |
Street Address |
40 AUBURN PARK DRIVE |
City | AUBURN |
State | GA |
Zip Code | 30011 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144617747 | Niare Feaster | Home Health | 4160 Triton Ives Dr, Auburn, GA 30011 | 2015-04-21 |
1821347006 | Danielle Renee Ellis | Specialist/Technologist | 4223 Saddlecreek Court, Auburn, GA 30011 | 2012-09-05 |
1407176001 | William Mong Herr | Dentist | 1310 Atlanta Hwy, Auburn, GA 30011 | 2010-06-04 |
1790939163 | Gwinnett Clinic, Ltd | Legal Medicine | 1383 Atlanta Highway, Auburn, GA 30011 | 2008-11-11 |
1245411800 | Ingles Markets Inc | Pharmacy | 1502 Atlanta Hwy Nw, Auburn, GA 30011 | 2007-11-23 |
1205056587 | Auburn Primary Care PC | Family Medicine | 12 7th Street, Auburn, GA 30011 | 2007-04-27 |
1174608921 | Patrick H Stephens Dmd PC | Dentist | 7 Carl Midway Ch Rd, Auburn, GA 30011 | 2006-10-26 |
1548691140 | A&s Health Care Service Inc | Non-emergency Medical Transport (VAN) | 2033 Tulip Petal Rd, Auburn, GA 30011-2159 | 2013-12-06 |
1649706169 | Denise Ann-marie White | Social Worker | 1963 Tulip Petal Rd, Auburn, GA 30011-2160 | 2017-05-03 |
1265974505 | Kimberly Hawthorne | Student in an Organized Health Care Education/Training Program | 896 Win West Pointe, Auburn, GA 30011-2254 | 2016-11-16 |
Find all providers in zip 30011 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902414972 | Brenda Chynoweth LLC | Community/Behavioral Health | 703 E Glenn Ave Ste D, Auburn, AL 36830-5016 | 2020-07-16 |
1821619453 | Abilities Unlimited LLC | Community/Behavioral Health | 1761 Wire Rd Apt 4-7, Auburn, AL 36832-6645 | 2020-05-05 |
1366907768 | Jenna M Mccully | Community/Behavioral Health | 21 Appalachee Church Rd, Auburn, GA 30011-3620 | 2019-02-10 |
1376036871 | Katrina Brown, Marriage and Family Therapist, Inc. | Community/Behavioral Health | 1167 High St, Auburn, CA 95603-5130 | 2018-06-08 |
1205343811 | Cayuga County Community Health Network, Inc. | Community/Behavioral Health | 2119 W Genesee Street Rd, Auburn, NY 13021 | 2018-01-04 |
1730564907 | Hope Help George Brummell Counseling, LLC | Community/Behavioral Health | 230 Auburn Way S Ste 1b, Auburn, WA 98002-5451 | 2015-07-29 |
1417353814 | My Choice Programs, Inc. | Community/Behavioral Health | 781 Southbridge St, Auburn, MA 01501-1336 | 2014-11-12 |
1346509775 | Essential Self, LLC | Community/Behavioral Health | 1501 15th St Nw, Suite 107, Auburn, WA 98001-3507 | 2012-05-04 |
1710257704 | Granite Wellness Centers | Community/Behavioral Health | 12183 Locksley Ln Ste 101-105, Auburn, CA 95602-2004 | 2012-01-06 |
1295053429 | Health Affiliates Maine | Community/Behavioral Health | 158 Court St, Auburn, ME 04210-5907 | 2010-05-12 |
Find all providers in AUBURN |
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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.