HCC HEALTHCARE OF MARIETTA, LLC (NPI# 1295768497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295768497 |
| Entity Type | Organization |
| Organization Name | HCC HEALTHCARE OF MARIETTA, LLC |
| Other Organization Name | SHOREHAM AT MARIETTA |
| Practice Address |
811 Kennesaw Avenue Marietta GA 30060 |
| Mailing Address |
925 N Point Pkwy Suite 440 Alpharetta GA 30005-5210 |
| Practice Telephone | 7704222451 |
| Practice Fax Number | 7704992235 |
| Mailing Telephone | 7706190866 |
| Mailing Fax Number | 7708702892 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. LOUANN ANSTIS (PRIVACY OFFICER) |
| Authorized Official Telephone | 7706190866 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 00048991 | GA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00142986A | 05 |
| Other Name | Type Code |
|---|---|
| Shoreham at Marietta | Doing Business As Name - Organization |
| Street Address |
811 KENNESAW AVENUE |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| 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 |
|---|---|---|---|---|
| 1053797340 | C.r. of Autumn Breeze, LLC | Skilled Nursing Facility | 1480 Sandtown Rd Sw, Marietta, GA 30008-3821 | 2015-08-10 |
| 1629312079 | Sundance | Skilled Nursing Facility | 145 Cox Farm Rd Nw, Marietta, GA 30064-5059 | 2012-11-23 |
| 1639241284 | Marietta Care, LLC | Skilled Nursing Facility | 400 N 7th St, Marietta, OH 45750-2024 | 2006-11-15 |
| 1184730913 | Marietta Healthcare, LLC | Skilled Nursing Facility | 117 Bartlett St, Marietta, OH 45750-2683 | 2006-08-22 |
| 1164466942 | Heartland of Marietta Oh, LLC | Skilled Nursing Facility | 2501 State Route 60, Marietta, OH 45750-1271 | 2006-06-15 |
| 1619914520 | Manor Care of Marietta Ga LLC | Skilled Nursing Facility | 4360 Johnson Ferry Pl, Marietta, GA 30068-2016 | 2006-05-31 |
| 1053366336 | Mt. Kenn Nursing, LLC | Skilled Nursing Facility | 1480 Sandtown Road, Marietta, GA 30008-3821 | 2006-05-24 |
| 1700838265 | Ggnsc Marietta LLC | Skilled Nursing Facility | 613 Roselane St Nw, Marietta, GA 30060-6940 | 2006-05-16 |
| 1447219696 | Mpi Management, Inc | Skilled Nursing Facility | 2906 Geer Hwy, Marietta, SC 29661-9517 | 2006-03-17 |
| 1558357368 | Marietta Health and Rehabilitation Center, Inc. | Skilled Nursing Facility | 50 Saine Dr Sw, Marietta, GA 30008-3824 | 2005-09-27 |
| Find all providers in MARIETTA | ||||
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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.