COTTER PERSONAL CARE HOME LLC (NPI# 1255723813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255723813 |
| Entity Type | Organization |
| Organization Name | COTTER PERSONAL CARE HOME LLC |
| Practice Address |
5146 Cotter Dr Union City GA 30291-1812 |
| Mailing Address |
Po Box 310147 Atlanta GA 31131-0147 |
| Practice Telephone | 7702264244 |
| Mailing Telephone | 7702264244 |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2015-02-19 |
| Authorized Official Name | URICK LADONIS (OWNER) |
| Authorized Official Telephone | 7702264244 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | 241816 | GA | Residential Treatment Facilities |
| Street Address |
5146 COTTER DR |
| City | UNION CITY |
| State | GA |
| Zip Code | 30291-1812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801392436 | Danyell Smith | Counselor | 234 Elkhound Court, Union City, GA 30291 | 2018-04-03 |
| 1619221033 | Renee Anne Critten-young | Hospice Care, Community Based | 4788 Jonesboro Rd, Suite A, Union City, GA 30291 | 2012-11-07 |
| 1891066544 | Dena Renee White | Occupational Therapist | 9535 Lakeview Rd, Union City, GA 30291 | 2012-01-25 |
| 1841575354 | Latoya Winston | Skilled Nursing Facility | 3253 Diamond Blf, Union City, GA 30291 | 2011-10-15 |
| 1760558407 | Thelma Teresa Spears | Dentist | 4731 Jonesboro Rd, 220, Union City, GA 30291 | 2006-11-27 |
| 1629168208 | Wal-mart Stores East, Lp | Technician/Technologist | 4375 Jonesboro Rd., Union City, GA 30291 | 2006-10-13 |
| 1780798314 | Va Hospital | Nursing Facility/Intermediate Care Facility | 7264 Madison Circle, Union City, GA 30291 | 2006-08-19 |
| 1841220944 | F & M Family Eyecare, LLC | Optometrist | 4375 Jonesboro Road, Union City, GA 30291 | 2006-07-04 |
| 1538367537 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 3940 Jonesboro Rd., Union City, GA 30291-0000 | 2007-07-11 |
| 1679819692 | To The Root of Things | Durable Medical Equipment & Medical Supplies | 6077 Bena Ct, Union City, GA 30291-1044 | 2012-12-19 |
| Find all providers in zip 30291 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619403805 | Quencie's Manor LLC | Residential Treatment Facility, Physical Disabilities | 2104 Jeffersonville Rd, Macon, GA 31217-4517 | 2017-05-07 |
| 1114452620 | Training On The Move | Residential Treatment Facility, Physical Disabilities | 619 Hampton St, Hinesville, GA 31313-3535 | 2017-04-23 |
| 1780122010 | Pugh's Personal Care Home | Residential Treatment Facility, Physical Disabilities | 5834 St Matthews St John Church Rd, Donalsonville, GA 39845-3550 | 2017-02-07 |
| 1730621756 | Innovative Solutions Personal Care Home | Residential Treatment Facility, Physical Disabilities | 569 Phyllis Cir, Camilla, GA 31730-6438 | 2016-11-08 |
| 1285029884 | Hhsrc Neuromuscular | Residential Treatment Facility, Physical Disabilities | 5474 Oakley Industrial Blvd, Apt. 1032, Fairburn, GA 30213-4455 | 2015-03-31 |
| 1770996001 | Reaves Home Care Services | Residential Treatment Facility, Physical Disabilities | 2502 Trees of Kennesaw Pkwy Nw, Kennesaw, GA 30152-8220 | 2014-06-04 |
| 1225453079 | Delroy Thomas | Residential Treatment Facility, Physical Disabilities | 8099 Revere Dr, Mcdonough, GA 30252-8924 | 2014-03-03 |
| 1134564131 | Panola Care, Cla | Residential Treatment Facility, Physical Disabilities | 3169 Pequea Dr, Lithonia, GA 30038-1119 | 2013-05-03 |
| 1235490095 | Apfa | Residential Treatment Facility, Physical Disabilities | 4776 Ben Hill Rd, Douglasville, GA 30134-4213 | 2012-06-07 |
| 1326307059 | Travelers Care Nursing Agency | Residential Treatment Facility, Physical Disabilities | 2802 Tree Summit Pkwy, Duluth, GA 30096-7932 | 2012-05-15 |
| Find all providers with the same taxonomy | ||||
| City | UNION CITY |
| Zip Code | 30291 |
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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.