PRESBYTERIAN HOME, QUITMAN, INC. (NPI# 1336139070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336139070 |
| Entity Type | Organization |
| Organization Name | PRESBYTERIAN HOME, QUITMAN, INC. |
| Other Organization Name | PRESBYTERIAN HOME, INC. |
| Practice Address |
1901 W Screven St Quitman GA 31643-3913 |
| Mailing Address |
Po Box 407 Quitman GA 31643-3913 |
| Practice Telephone | 2292636100 |
| Practice Fax Number | 2292636195 |
| Mailing Telephone | 2292636100 |
| Mailing Fax Number | 2292636195 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2013-04-26 |
| Authorized Official Name | DIANNE ARRENDALE (CFO) |
| Authorized Official Telephone | 2292636193 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities | ||
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00142579A | 05 |
| Other Name | Type Code |
|---|---|
| Presbyterian Home, Inc. | Doing Business As Name - Organization |
| Street Address |
1901 W SCREVEN ST |
| City | QUITMAN |
| State | GA |
| Zip Code | 31643-3913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841842580 | Stacia Deakins | Physical Therapy Assistant | 1901 W Screven St, Quitman, GA 31643-3913 | 2019-07-12 |
| 1811553027 | Ryan Hudson | Physical Therapist | 1901 W Screven St, Quitman, GA 31643-3913 | 2019-05-13 |
| 1902368665 | Belinda Dale Tate | Occupational Therapy Assistant | 1901 W Screven St, Quitman, GA 31643-3913 | 2019-04-02 |
| 1821558511 | Amber Wise | Occupational Therapy Assistant | 1901 W Screven St, Quitman, GA 31643-3913 | 2019-03-20 |
| 1013475821 | Amy Beth Whitcombe Freeman | Occupational Therapy Assistant | 1901 W Screven St, Quitman, GA 31643-3913 | 2019-03-11 |
| 1619431764 | Jennifer H Hightower | Physical Therapist | 1901 W Screven St, Quitman, GA 31643-3913 | 2019-01-23 |
| 1528531878 | Michael William Harrell | Physical Therapy Assistant | 1901 W Screven St, Quitman, GA 31643-3913 | 2019-01-09 |
| 1891268306 | Chad Gerald Lionberger | Physical Therapist | 1901 W Screven St, Quitman, GA 31643-3913 | 2019-01-08 |
| 1063985000 | Dorian H. Jordan | Occupational Therapy Assistant | 1901 W Screven St, Quitman, GA 31643-3913 | 2019-01-02 |
| 1578031514 | Aubrey Andrews | Physical Medicine & Rehabilitation | 1901 W Screven St, Quitman, GA 31643-3913 | 2018-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386168938 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1103 W Screven St, Quitman, GA 31643 | 2017-07-26 |
| 1245774025 | Shacora Travis | Contractor | 1200 Carney Road, Quitman, GA 31643 | 2016-12-13 |
| 1528358306 | Thomas Jackson Barrs | Pharmacist | 1103 West Screven St, Quitman, GA 31643 | 2011-04-13 |
| 1326356767 | Robert Eugene Jennings Jr. | Pharmacist | 510 Old Madison Rd, Quitman, GA 31643 | 2010-09-20 |
| 1275854515 | Marable's Heart-to-heart PCh Inc | Home Health | 83 Church Lane, Marable's Heart-to-heart Personal Care Home Inc., Quitman, GA 31643 | 2010-06-22 |
| 1871718577 | Mcleod-gaston Inc | Community/Behavioral Health | 102 N. Madison St., Quitman, GA 31643 | 2007-04-16 |
| 1598804197 | Debra M Seleska | Nurse Practitioner | 907 North Court Street, Quitman, GA 31643 | 2007-02-06 |
| 1184078537 | Brooks County Hospital | Radiology | 903 N Court St, Quitman, GA 31643 | 2016-04-21 |
| 1639523087 | Brooks County Hospital | Radiology | 903 N Court St, Quitman, GA 31643 | 2016-04-21 |
| 1538513981 | Brooks County Hospital | Radiology | 903 N Court St, Quitman, GA 31643 | 2016-04-21 |
| Find all providers in zip 31643 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861937187 | Organnizer | Nursing Facility/Intermediate Care Facility | 2320 Highway 20 Se, Conyers, GA 30013-2426 | 2016-12-22 |
| 1508228370 | Correcthealth Gdc, LLC | Nursing Facility/Intermediate Care Facility | 1 Bostick Cir, Milledgeville, GA 31062-7526 | 2016-03-22 |
| 1760856645 | 363l00000x | Nursing Facility/Intermediate Care Facility | 2171 Peachtree Rd Ne, Apt 306, Atlanta, GA 30309-6300 | 2015-11-16 |
| 1568846798 | Your Elite Companion Sitting and Healthcare Services | Nursing Facility/Intermediate Care Facility | 3235 Satellite Blvd, Bldg 400 Suite 300, Duluth, GA 30096-8687 | 2015-07-17 |
| 1194141549 | Hospital Authority of Valdosta and Lowndes County, Georgia | Nursing Facility/Intermediate Care Facility | 120 W Thigpen Ave, Lakeland, GA 31635-1011 | 2014-03-10 |
| 1255768024 | Department of Juvenile Justice | Nursing Facility/Intermediate Care Facility | 450 Crescent Dr, Gainesville, GA 30501-5079 | 2013-10-10 |
| 1043576812 | Call To Arm | Nursing Facility/Intermediate Care Facility | 4066 Christacy Way, Marietta, GA 30066-2786 | 2012-04-06 |
| 1881824928 | Tedla-kebede Corp | Nursing Facility/Intermediate Care Facility | 3424 Old Suttons Way, Marietta, GA 30062-4187 | 2009-07-23 |
| 1164642484 | Skidaway Health and Living Services, Inc. | Nursing Facility/Intermediate Care Facility | 95 Skidaway Island Park Rd, Savannah, GA 31411-1104 | 2007-04-27 |
| 1780798314 | Va Hospital | Nursing Facility/Intermediate Care Facility | 7264 Madison Circle, Union City, GA 30291 | 2006-08-19 |
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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.