PIKE MANOR INC. (NPI# 1255584108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255584108 |
Entity Type | Organization |
Organization Name | PIKE MANOR INC. |
Practice Address |
10642 Highway 19 N Zebulon GA 30295-3192 |
Practice Telephone | 7705670200 |
Practice Fax Number | 7705670010 |
Mailing Telephone | 7705670200 |
Mailing Fax Number | 7705670010 |
Enumeration Date | 2008-10-23 |
Last Update Date | 2019-06-26 |
Authorized Official Name | CHRISTA COOK (CEO/CFO) |
Authorized Official Telephone | 7705670020 |
Authorized Official Credential | CEO/CFO; PT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | 114030011 | GA | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 000946789A | 05 |
Street Address |
10642 HIGHWAY 19 N |
City | ZEBULON |
State | GA |
Zip Code | 30295-3192 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144842352 | Kelli Kaczmarek | Counselor | 9829 Us-19, Zebulon, GA 30295 | 2020-05-11 |
1730710914 | Servemed, Inc | Pharmacy | 10263 Us Hwy 19, Suite 226, 226 Plaza Drive, Zebulon, GA 30295 | 2020-01-28 |
1497134308 | Eva White | Nurse Practitioner | 1070 County Farm Rd, Williamson, GA 30295 | 2015-05-26 |
1780017822 | Palmetto Family Dental of Pike County | Clinic/Center | 15988 Barnesville St., Zebulon, GA 30295 | 2013-08-13 |
1043352271 | Kenneth David Gaskins | Pharmacist | 119 Concord Street, Zebulon, GA 30295 | 2007-02-13 |
1497821862 | Donna Michelle Haney | Family Medicine | 16125 Barnesville Street, Zebulon, GA 30295 | 2006-11-28 |
1669543476 | Pike County Board of Education | Local Education Agency (LEA) | 115 West Jackson Street, Zebulon, GA 30295 | 2006-11-13 |
1457440364 | Pike County Health Department | Registered Nurse | 541 Griffin Street, Zebulon, GA 30295 | 2006-10-11 |
1346353919 | Frank W. Kirby | Dentist | 7233 Us Highway 19, Zebulon, GA 30295 | 2006-08-16 |
1417941998 | Pike County Health Department | Public Health or Welfare | 541 Griffin Str., Zebulon, GA 30295 | 2005-09-09 |
Find all providers in zip 30295 |
Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235276551 | Yarborough O'neal Villa | Assisted Living Facility | 551 Pony Rd, Zebulon, NC 27597-2572 | 2007-01-30 |
1689722944 | Coventry House of Zebulon | Assisted Living Facility | 1225 W Gannon Ave, Zebulon, NC 27597-8838 | 2007-01-05 |
1922245828 | Zhi,llc | Assisted Living Facility | 551 Pony Rd, Zebulon, NC 27597-2572 | 2009-01-14 |
NPI | Name | Taxonomy | Address | Enumeration |
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1609475086 | The We Care Homecare Foundation, Inc | Assisted Living Facility | 5701 Mableton Pkwy Sw Ste 306, Mableton, GA 30126-3360 | 2020-10-18 |
1871100412 | Forever Harmony PCh Inc | Assisted Living Facility | 205 Providence Walk Ct, Canton, GA 30114-8622 | 2020-09-28 |
1063026953 | New Hope Living Centre Dba The Fite Living Centre | Assisted Living Facility | 5 Fite St, Cartersville, GA 30120-3408 | 2020-09-08 |
1033723697 | Jordan Scott Seamans | Assisted Living Facility | 7778 Schomburg Rd Apt 610, Columbus, GA 31909-1928 | 2020-09-01 |
1225641368 | Renaissance Gainesville 1, LLC | Assisted Living Facility | 2215 Old Hamilton Pl, Gainesville, GA 30507-7893 | 2020-08-28 |
1770193120 | Simply Living Personal Care Home, LLC | Assisted Living Facility | 3 Berwick Ct, Savannah, GA 31406-6721 | 2020-07-31 |
1487276184 | 1115 Smith Opco LLC | Assisted Living Facility | 135 Market St, Thomasville, GA 31792-5782 | 2020-05-15 |
1497376545 | Shawitekia Johnson | Assisted Living Facility | 312 Magnolia Dr, Thomson, GA 30824-1842 | 2020-04-29 |
1366075848 | Liagiba, Inc | Assisted Living Facility | 518 Lake Michele Ct, Stone Mountain, GA 30088-1401 | 2020-02-13 |
1639701352 | Angels Live Here Inc. | Assisted Living Facility | 89 Level Creek Rd, Suwanee, GA 30024-1779 | 2020-02-11 |
Find all providers with the same taxonomy |
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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.