ELKS AIDMORE, INC. (NPI# 1316209083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316209083 |
| Entity Type | Organization |
| Organization Name | ELKS AIDMORE, INC. |
| Other Organization Name | ELKS AIDMORE CHILDREN'S CENTER |
| Practice Address |
2394 Morrison Rd Sw Conyers GA 30094-3330 |
| Practice Telephone | 7704833535 |
| Practice Fax Number | 7704835696 |
| Mailing Telephone | 7704833535 |
| Mailing Fax Number | 7704835696 |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2012-06-08 |
| Authorized Official Name | MR. ABE MEYER WILKINSON (CEO) |
| Authorized Official Telephone | 7704833535 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | C1000Q010056 | GA | Agencies |
| Other Name | Type Code |
|---|---|
| Elks Aidmore Children's Center | Doing Business As Name - Organization |
| Street Address |
2394 MORRISON RD SW |
| City | CONYERS |
| State | GA |
| Zip Code | 30094-3330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029054 | Darlene Fletcher | Counselor | 827 St. Clair Dr., Conyers, GA 30094 | 2020-10-05 |
| 1194363366 | Clara A Matthews | Physician Assistant | 1930 Windsor Creek Drive Sw, Conyers, GA 30094 | 2019-12-18 |
| 1659838571 | Sensitive Home Care Agency Inc. | PACE Provider Organization | 2225 Morning Dew, Conyers, GA 30094 | 2019-02-27 |
| 1679097992 | Sheira Dennis | Case Management | 3828 Martingale Dr Se, Conyers, GA 30094 | 2017-07-28 |
| 1730571399 | Wellness and Trauma Recovery Center | Counselor | 1775 Parker Rd. Building C, Suite 210, Conyers, GA 30094 | 2015-02-19 |
| 1760870612 | Michael Terrell | Technician/Technologist | 806 Cambridge Creek Dr, Conyers, GA 30094 | 2014-12-30 |
| 1538567466 | Jennifer Angela Johnson | Registered Nurse | 2240 Wren Rd Se, Conyers, GA 30094 | 2014-12-09 |
| 1225445208 | Wanda Marcella Rainey-reed | Counselor | 1453 Klondike Rd Sw Ste D, Conyers, GA 30094 | 2014-07-22 |
| 1508155268 | Nicklaus Trent Rice | Obstetrics & Gynecology | 2750 Owens Dr, Conyers, GA 30094 | 2011-04-04 |
| 1720219660 | Candace Alexander | Dentist | 863 Flat Shoals Rd Se, Suite C #220, Conyers, GA 30094 | 2009-07-27 |
| Find all providers in zip 30094 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841514551 | Mommy N Me of Georgia Inc. | Foster Care Agency | 1376 Travers Creek Trl, Conyers, GA 30012-3585 | 2010-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962233 | Hopeful Homes, LLC. | Foster Care Agency | 200 Pleasant Home Rd, Augusta, GA 30907-3520 | 2020-11-08 |
| 1184222440 | Passionate People Personal Care LLC | Foster Care Agency | 6660 Mableton Pkwy Se Apt 405, Mableton, GA 30126-5399 | 2020-10-09 |
| 1285107482 | Greenbriar Children's Center Inc | Foster Care Agency | 3709 Hopkins St, Savannah, GA 31405-3028 | 2019-01-10 |
| 1467846261 | From Conception To Destiny, Inc. | Foster Care Agency | 2001 Martin Luther King Jr Dr Sw Ste 229, Atlanta, GA 30310-5809 | 2015-03-19 |
| 1386037521 | Emanuel Loving Arms Residential Child Care, Inc | Foster Care Agency | 243 Sabreena Cir, Hinesville, GA 31313-8204 | 2015-03-12 |
| 1487076733 | Demetrius Battle | Foster Care Agency | 840 Gateshead Ln, Lawrenceville, GA 30043-6668 | 2014-01-06 |
| 1689095333 | Fully Corporation | Foster Care Agency | 416 Johnson Rd, Cairo, GA 39828-8414 | 2013-12-26 |
| 1992137293 | Unique Therapeutic Services | Foster Care Agency | 337 Bradley Woods Ct Nw Unit A, Lilburn, GA 30047-5931 | 2013-08-08 |
| 1023673761 | Fulton County Dfcs | Foster Care Agency | 1249 Donald Lee Hollowell Pkwy Nw, Atlanta, GA 30318-6657 | 2019-05-08 |
| 1164956165 | Hope Gardens 4 Retreat, LLC | Foster Care Agency | 7027 Swift St, Lithonia, GA 30058-4342 | 2017-04-17 |
| 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.