MONTICELLO PERSONAL CARE HOME (NPI# 1326577255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326577255 |
| Entity Type | Organization |
| Organization Name | MONTICELLO PERSONAL CARE HOME |
| Practice Address |
825 Eatonton St Monticello GA 31064-1029 |
| Practice Telephone | (706) 875-7944 |
| Mailing Telephone | 7068757944 |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2017-06-14 |
| Authorized Official Name | ANNA COTTON (CORPORATE ADMINISTRATIVE ASSISTANT) |
| Authorized Official Telephone | 7706923875 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | PCH009112 | GA | Nursing & Custodial Care Facilities |
| Street Address |
825 EATONTON ST |
| City | MONTICELLO |
| State | GA |
| Zip Code | 31064-1029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235793241 | Mesepp Community, Inc | Clinic/Center | 825 Eatonton St, Monticello, GA 31064-1029 | 2019-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568935757 | Neighborcare Pharmacy | Pharmacy | 3 Short St., Monticello, GA 31064 | 2019-01-10 |
| 1932563178 | Mary Catherine Sikes | Specialist/Technologist | 126 Hwy 212 West, Monticello, GA 31064 | 2016-04-13 |
| 1801018288 | Griswold Chiropractic | Chiropractor | 111 W. Washington St, Monticello, GA 31064 | 2007-05-03 |
| 1881733392 | Garrett Medical Supplies | Durable Medical Equipment & Medical Supplies | 126 Greene Street, Montilcello, GA 31064 | 2007-02-05 |
| 1629189212 | Stephen R Griswold | Chiropractor | 111 West Washington St, Monticello, GA 31064 | 2006-08-31 |
| 1144293457 | Jamie Alan Mitchell | Dentist | 458 W Washington St, Monticello, GA 31064 | 2006-02-08 |
| 1295738722 | Shannon T Barton | Family Medicine | 545 Venture Court, Monticello, GA 31064 | 2005-05-30 |
| 1093011314 | W Kenny Blake Md LLC | Family Medicine | 545 Venture Court, Monticello, GA 31064 | 2011-02-03 |
| 1811293137 | Shannon T. Barton Md LLC | Family Medicine | 545 Venture Court, Monticello, GA 31064 | 2011-02-03 |
| 1609859818 | Jasper County Emergency Medical Service | Ambulance | 185 Highway 212 W, Monticello, GA 31064-0000 | 2005-11-22 |
| Find all providers in zip 31064 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578181574 | Eac Home Solutions LLC | Custodial Care Facility | 6319 Willowbrook Dr, Riverdale, GA 30296-2941 | 2020-07-07 |
| 1417511841 | Browns Tender-hearted Care | Custodial Care Facility | 116 Virginia Ln, Climax, GA 39834-2872 | 2019-05-01 |
| 1619407822 | New Hope Assistant Living of Georgia, Inc | Custodial Care Facility | 3985 Flat Shoals Rd, Union City, GA 30291-1588 | 2017-06-20 |
| 1407386204 | Cartersville Personal Care Home | Custodial Care Facility | 5 Bowen Ct, Cartersville, GA 30120-2493 | 2017-06-14 |
| 1932631199 | Altruistic Adult Daycare | Custodial Care Facility | 2245 Dillard St, Tucker, GA 30084-4824 | 2017-03-28 |
| 1861937443 | Daily Grace Adult Day Health Services, Inc | Custodial Care Facility | 868 Highway 49, Macon, GA 31211 | 2017-01-05 |
| 1730534702 | Total Package Home Care | Custodial Care Facility | 3361 Shirehill Ln, Columbus, GA 31909-4706 | 2016-04-27 |
| 1528436227 | Comforters Adult Daycare | Custodial Care Facility | 5939 Stewart Pkwy, Douglasville, GA 30135-2371 | 2015-09-11 |
| 1427446160 | Osa Healthcare Inc | Custodial Care Facility | 1215 Eagles Landing Pkwy Ste 209b, Stockbridge, GA 30281-7280 | 2015-01-05 |
| 1174958706 | Correctional Medical Associates, Inc. | Custodial Care Facility | 1000 Circle 75 Pkwy Se, Suite 060, Atlanta, GA 30339-3026 | 2013-09-13 |
| Find all providers with the same taxonomy | ||||
| City | MONTICELLO |
| Zip Code | 31064 |
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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.