ALLEGIANT SERVICE LLC (NPI# 1316279557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316279557 |
| Entity Type | Organization |
| Organization Name | ALLEGIANT SERVICE LLC |
| Practice Address |
4323 Juneberry Ct Decatur GA 30034-6425 |
| Practice Telephone | 6784916215 |
| Practice Fax Number | 7705581580 |
| Mailing Telephone | 7705581580 |
| Mailing Fax Number | 7705581580 |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2010-02-12 |
| Authorized Official Name | MRS. MARY ANN FERGUSON (ADMINISTRATOR) |
| Authorized Official Telephone | 6784916215 |
| 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 | 126168557A | GA | Residential Treatment Facilities |
| Street Address |
4323 JUNEBERRY CT |
| City | DECATUR |
| State | GA |
| Zip Code | 30034-6425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289803 | Kalesha Uneek Presswood | Behavior Technician | 5361 Roswell Rd, Atlanta, GA 30034 | 2020-09-14 |
| 1447876768 | Rosemary Maines | Recreation Therapist | The Maines Group LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1437775764 | The Maines Group, LLC | Adult Companion | The Maines Group, LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1801351994 | Anthony E. Parrish, D.d.s., PC | Dentist | 3653 Flakes Mill Road, Suite E, Deactur, GA 30034 | 2019-02-04 |
| 1164916813 | Lenina O Chi-ukpai | Nurse Practitioner | 2942 Secretariat Ct, Decatur, GA 30034 | 2018-06-17 |
| 1154662765 | Zackery Kanel Thomas | Driver | 2782 Green Marsh Court, Decatur, GA 30034 | 2013-03-06 |
| 1033472642 | Lakeba Hibbler Williams | Counselor | 4147 Flat Shoals Pkwy, Decatur, GA 30034 | 2012-06-19 |
| 1164789632 | Foot Solutions of Georgia | Durable Medical Equipment & Medical Supplies | 3011 S Rainbow Dr, Suite 160, Decatur, GA 30034 | 2012-04-20 |
| 1699096172 | Wanda P Garrett | Social Worker | 3013 Rainbow Drive, Suite 112-e, South Dekalb Office Park, Decatur, GA 30034 | 2010-06-18 |
| 1245558022 | Teresa Behrend Fletcher | Counselor | 3915 Brookside Pkwy, Decatur, GA 30034 | 2010-05-04 |
| Find all providers in zip 30034 | ||||
| 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 |
|---|---|---|---|---|
| 1730799073 | Victory Won Counseling and Res Care Prof. Corp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5014 Snapfinger Woods Dr, Decatur, GA 30035-4003 | 2020-08-02 |
| 1699138669 | From The Heart Enterprises, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2188 Riverbrook Rd, Decatur, GA 30035-2924 | 2016-03-29 |
| 1700248226 | Xtraordinary People Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 404 Glennwood Rd Sw, Decatur, AL 35601-3932 | 2016-03-23 |
| 1750750923 | Church of Grace of The Christian Faith | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 109 Memorial Dr Nw, Decatur, AL 35601-2263 | 2015-09-17 |
| 1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
| 1467798645 | Loyd Homes of Decatur, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 815 Sherman St Se, Decatur, AL 35601-3143 | 2012-12-17 |
| 1982958518 | Exceeding Your Expectations | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2115 Nichols Ln, Decatur, GA 30032-5834 | 2012-11-05 |
| 1861746901 | As&c Homes Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1607 Faye St Sw, Decatur, AL 35601-2732 | 2012-10-27 |
| 1013219450 | Adam and Eve Assisted Living Community | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5169 Covington Hwy, Decatur, GA 30035-2024 | 2010-11-17 |
| 1922310291 | Owls Retreat Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2858 Santa Barbara Dr, Decatur, GA 30032-3552 | 2010-07-02 |
| Find all providers in DECATUR | ||||
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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.