L&R PERSONAL CARE HOME (NPI# 1316248560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316248560 |
| Entity Type | Organization |
| Organization Name | L&R PERSONAL CARE HOME |
| Practice Address |
14 Sharper Circle Valdosta GU 31601 |
| Mailing Address |
14 Sharper Circle L&r Personal Care Home Valdosta GA 31601 |
| Practice Telephone | 2295390484 |
| Mailing Telephone | 2292530683 |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-04 |
| Authorized Official Name | LAWRENCE WILLIAMS (OWNER) |
| Authorized Official Telephone | 2292326722 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 092-01-112-9 | GA | Residential Treatment Facilities |
| Street Address |
14 SHARPER CIRCLE |
| City | VALDOSTA |
| State | GU |
| Zip Code | 31601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437700838 | Tristan Carlos Garcia | Specialist/Technologist | 605 West Mary Street, Valdosta, GA 31601 | 2019-09-26 |
| 1508332438 | Euniqua Lashay Williams | Contractor | 812 Lausanne Drive, Valdosta, GA 31601 | 2018-10-18 |
| 1457847634 | Valencia Meshay Johnson | Contractor | 1211 North Oak Street, Valdosta, GA 31601 | 2018-07-10 |
| 1376038042 | Restoration Care Services, LLC | Home Health | 704 Lake Park Road, Valdosta, GA 31601 | 2018-06-26 |
| 1609373133 | Ikea Sharnay Calhoun | Contractor | 1710 Dedo Drive, Valdosta, GA 31601 | 2018-04-11 |
| 1174049431 | Alexious Denson | Contractor | 900 Blanton St., Apt A16, Valdosta, GA 31601 | 2017-08-18 |
| 1578012258 | Clarissa Yolanda Alderman | Counselor | 4107 N Forrest Run Circle, Valdosta, GA 31601 | 2016-09-23 |
| 1225322613 | Andrea J. Ramirez | Counselor | 1301 Melody Ln Ste B, Valdosta, GA 31601 | 2011-06-03 |
| 1902121809 | Grace Healthcare Services Inc | Respite Care | 1010 Slater Street, Valdosta, GA 31601 | 2010-04-02 |
| 1609008986 | Lakeitha Michelle Randolph | Home Health Aide | 343 Johns Road, Wonder Care Home Health, Warner Robins, GA 31601 | 2009-08-20 |
| Find all providers in zip 31601 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619421138 | South Georgia Community Service Board | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1308 W Park Ave, Valdosta, GA 31602-2722 | 2016-08-12 |
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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.