DELMAR GARDENS OF GWINNETT OPERATING, LLC (NPI# 1255327862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255327862 |
| Entity Type | Organization |
| Organization Name | DELMAR GARDENS OF GWINNETT OPERATING, LLC |
| Other Organization Name | DELMAR GARDENS OF GWINNETT |
| Practice Address |
3100 Club Dr Lawrenceville GA 30044-2591 |
| Mailing Address |
14805 N Outer 40 Rd Suite 300 Chesterfield MO 63017-6060 |
| Practice Telephone | 7709233100 |
| Practice Fax Number | 7703815422 |
| Mailing Telephone | 6367337000 |
| Mailing Fax Number | 6367337010 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2016-01-12 |
| Authorized Official Name | MR. GAIL LEE HARTMANN (TREASURER) |
| Authorized Official Telephone | 6367337000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1-067-1829 | GA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 156912785A | 05 |
| Other Name | Type Code |
|---|---|
| Delmar Gardens of Gwinnett | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366841314 | Delmar Gardens of Gwinnett Operating, LLC | Assisted Living Facility | 3100 Club Dr, Lawrenceville, GA 30044-2591 | 2014-08-15 |
| Street Address |
3100 CLUB DR |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30044-2591 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043799067 | Esther Brooks Witter | Speech-Language Pathologist | 3100 Club Dr, Lawrenceville, GA 30044-2591 | 2018-08-09 |
| 1700375714 | Joshua Mason | Physical Therapy Assistant | 3100 Club Dr, Lawrenceville, GA 30044-2591 | 2018-05-04 |
| 1245731611 | Brittney Mcalister | Physical Therapy Assistant | 3100 Club Dr, Lawrenceville, GA 30044-2591 | 2018-02-21 |
| 1023547270 | Sonja L Williford | Physical Therapy Assistant | 3100 Club Dr, Lawrenceville, GA 30044-2591 | 2017-06-09 |
| 1245681576 | Ashley Brittney Hagler | Occupational Therapy Assistant | 3100 Club Dr, Lawrenceville, GA 30044-2591 | 2016-06-28 |
| 1750753349 | Janice Shelton | Occupational Therapy Assistant | 3100 Club Dr, Lawrenceville, GA 30044-2591 | 2015-10-22 |
| 1366841314 | Delmar Gardens of Gwinnett Operating, LLC | Assisted Living Facility | 3100 Club Dr, Lawrenceville, GA 30044-2591 | 2014-08-15 |
| 1821415332 | Barry Strong | Physical Therapy Assistant | 3100 Club Dr, Lawrenceville, GA 30044-2591 | 2014-03-21 |
| 1124366349 | Mary Jincy Chackonal | Physical Therapist | 3100 Club Dr, Lawrenceville, GA 30044-2591 | 2013-01-23 |
| 1669717138 | Tonya Michelle Pruitt | Physical Therapy Assistant | 3100 Club Dr, Lawrenceville, GA 30044-2591 | 2012-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740811892 | Berry and Mitchell Hands of Caring | Nurse's Aide | 1180 Market Square Lane, Lawrenceville, GA 30044 | 2020-01-28 |
| 1457995045 | Reagan Urgent Care | Clinic/Center | 2878 Five Forks Trickum Rd Ste 2a, Lawrenceville, GA 30044 | 2019-11-06 |
| 1194373621 | Kaseem Beck | Dentist | Gwinnett Family Dental Care, 3455 Lawrenceville Hwy, Lawrenceville, GA 30044 | 2019-08-28 |
| 1053965525 | Imani Anderson | Speech-Language Pathologist | 2775 Cruse Rd Suite 2002, Lawrenceville, GA 30044 | 2019-08-01 |
| 1598329625 | Zam Zam Family Clinic LLC | Clinic/Center | 965 Oakland Road, Bldg 3 Ste D & E, Lawrenceville, GA 30044 | 2019-04-24 |
| 1659858991 | Apex Eyecare | Optometrist | 3694 Club Drive Unit 101, Lawrenceville, GA 30044 | 2018-07-19 |
| 1538657549 | Georgia Comprehensive Family Clinic & Natural Health | Naturopath | 1065 Pleasant Hill Rd, Lawrenceville, GA 30044 | 2018-04-25 |
| 1316434095 | Children's Dentistry of Lithonia, LLC | Dentist | 4850 Sugarloaf Parkway, Ste 611, Lawrenceville, GA 30044 | 2018-04-18 |
| 1831619337 | Legacy Healthcare Services, Inc. | Occupational Therapist | 2899 Five Forks Trickum Rd Apt 204, Lawrenceville, GA 30044 | 2017-06-26 |
| 1326582859 | Ana Coronado | Social Worker | 965 Oakland Road Nw, Suite 3b, Lawrenceville, GA 30044 | 2016-12-19 |
| Find all providers in zip 30044 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1134402233 | Optimum Health Skills Nursing Services LLC. | Skilled Nursing Facility | 1428 Avington Glen Dr, Lawrenceville, GA 30045-3541 | 2011-09-25 |
| 1316961741 | Ruxton Health Care Xiii, LLC | Skilled Nursing Facility | 1722 Lawrenceville Plank Rd, Lawrenceville, VA 23868-3351 | 2006-07-27 |
| 1295768950 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 3850 Safehaven Dr, Lawrenceville, GA 30044-4042 | 2006-07-08 |
| 1700819216 | Miller Healthcare LLC | Skilled Nursing Facility | 112 Franklin Corner Rd, Lawrenceville, NJ 08648-2104 | 2006-07-08 |
| 1356374011 | Gwinnett Operations, LLC | Skilled Nursing Facility | 210 Collins Industrial Way, Lawrenceville, GA 30043-5450 | 2006-07-08 |
| 1285636431 | Morris Hall St. Lawrence Inc. | Skilled Nursing Facility | One Bishops' Dr, Lawrenceville, NJ 08648 | 2005-06-01 |
| 1528508496 | United Methodist Village South Campus | Skilled Nursing Facility | 1616 Cedar St, Lawrenceville, IL 62439-2154 | 2017-02-27 |
| 1437699303 | United Methodist Village North Campus | Skilled Nursing Facility | 2101 James St, Lawrenceville, IL 62439-2027 | 2017-02-27 |
| 1225436215 | 112 Franklin Corner Road Operating Company LLC | Skilled Nursing Facility | 112 Franklin Corner Rd, Lawrenceville, NJ 08648-2104 | 2014-12-08 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30044 |
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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.