MRS. SANDRA ARLENE ADAMS (NPI# 1356520696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356520696 |
| Entity Type | Individual |
| Full Name | MRS. SANDRA ARLENE ADAMS |
| Practice Address |
4064 Bath Edie Rd Blythe GA 30805-3600 |
| Mailing Address |
3421 Mike Padgett Hwy Augusta GA 30906-3815 |
| Practice Telephone | 7065929640 |
| Mailing Telephone | 7064324858 |
| Mailing Fax Number | 7064323780 |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2007-11-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477060143 | Sandra Sue Adams | Technician | 370 Ritter Camp Road, Wharton, WV 25208 | 2018-01-04 |
| 1962797266 | Sandra Lynn Adams | Nurse Practitioner | 3623 Rocky Ford Ave, Manhattan, KS 66502-7229 | 2011-06-14 |
| 1538230800 | Sandra Jean Adams | Registered Nurse | 4524 Kingscup Ct, Ellicott City, MD 21042-5976 | 2006-11-10 |
| 1841370293 | Sandra A Adams | Social Worker | 528 Cottage St Ne, Suite 300, Salem, OR 97301-3811 | 2006-10-17 |
| 1144272998 | Sandra M Adams | Licensed Practical Nurse | 647 Comstock Blvd Ne, Grand Rapids, MI 49505-3675 | 2006-05-17 |
| 1578124541 | Sandra Lee Adams | Nurse Practitioner | 1075 Lafayette Pkwy Ste 100, Lagrange, GA 30241-3507 | 2019-06-21 |
| 1366986770 | Sandra Adams | Counselor | 209 W Jefferson Ave, Bastrop, LA 71220-4543 | 2016-12-05 |
| 1326104746 | Sandra Gail Adams | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2006-12-29 |
| 1730264821 | Sandra Lynn Adams | Psychologist | 2270 Highway 87, Navarre, FL 32566-3215 | 2006-10-26 |
| 1487744918 | Sandra Marie Adams | Counselor | 16535 W Bluemound Rd, Brookfield, WI 53005-5936 | 2006-10-13 |
| Street Address |
4064 BATH EDIE RD |
| City | BLYTHE |
| State | GA |
| Zip Code | 30805-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043541709 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4064 Bath Edie Rd, Blythe, GA 30805-3600 | 2010-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144668674 | Regina Sims | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4072 Bath Edie Rd, Blythe, GA 30805-3600 | 2013-06-06 |
| 1689945909 | Csb of East Central Georgia | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4054 Bath Edie Rd, Blythe, GA 30805-3600 | 2012-01-18 |
| 1912210501 | Hill's House | Assisted Living Facility | 3649 Highway 88, Blythe, GA 30805-3620 | 2010-07-23 |
| 1356717797 | Erica R. Griffin LLC | Counselor | 561 Poole Melton Rd, Blythe, GA 30805-3813 | 2015-08-20 |
| 1043878721 | Keysville Ltc Management LLC | Skilled Nursing Facility | 1005 Ga Highway 88, Blythe, GA 30805-3911 | 2019-05-29 |
| 1831453604 | Michael Thomas Cavender | Family Medicine | 300 East Hospital Road, Dwight David Eisenhower Army Medical Center, Fort Gordon, GA 30805-5650 | 2012-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003436940 | County of Riverside | Community/Behavioral Health | 1225 W Hobsonway, Blythe, CA 92225-1423 | 2020-04-21 |
| 1356976179 | Corrections and Rehabilitation | Pharmacy | 19005 Wileys Well Road, Blythe, CA 92225 | 2020-03-12 |
| 1982250650 | Brighter Path Recovery Center LLC | Clinic/Center | 286 E Hobsonway, Blythe, CA 92225-1731 | 2019-08-17 |
| 1043878721 | Keysville Ltc Management LLC | Skilled Nursing Facility | 1005 Ga Highway 88, Blythe, GA 30805-3911 | 2019-05-29 |
| 1316407141 | Jennifer Cherie Han-rivas | Speech-Language Pathologist | 208 W Hobsonway, Blythe, CA 92225-1619 | 2019-03-20 |
| 1477025484 | Sayed N Ally | Pharmacist | 616 E Hobsonway, Blythe, CA 92225-1739 | 2019-01-02 |
| 1164994554 | Anna Rangel | Behavior Technician | 15033 S Lovekin Blvd, Blythe, CA 92225-9444 | 2018-12-22 |
| 1760957435 | V & E Management and Consulting | Transportation Broker | 159 N 1st St, Blythe, CA 92225-1701 | 2018-10-09 |
| 1235624081 | Tiffany Elaine Wade | Dentist | 146 S Broadway, Blythe, CA 92225-2502 | 2018-06-25 |
| 1215429170 | Lilja Susan Whiting | Case Manager/Care Coordinator | 240 N Broadway, Blythe, CA 92225-1609 | 2018-06-05 |
| Find all providers in BLYTHE | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689945909 | Csb of East Central Georgia | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4054 Bath Edie Rd, Blythe, GA 30805-3600 | 2012-01-18 |
| 1043541709 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4064 Bath Edie Rd, Blythe, GA 30805-3600 | 2010-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764925 | Calveina Forde | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 538 Country Lake Dr, Mcdonough, GA 30252-2683 | 2020-09-10 |
| 1730715814 | Tyler Rose | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 116 South Mill Creek Court, Woodstock, GA 30188 | 2020-03-20 |
| 1023677713 | Earlean Blackwell | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1865 Waldrep Cir Se, Marietta, GA 30060-4927 | 2019-06-06 |
| 1629535216 | Carpenter Host Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 806 Grady Ave N, Douglas, GA 31533-4812 | 2019-03-01 |
| 1700354859 | View Point Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 160 Longstreet Cir, Oxford, GA 30054-2244 | 2018-11-07 |
| 1760950901 | View Point Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2116 Tudor Castle Cir, Decatur, GA 30035-2158 | 2018-11-06 |
| 1144747437 | Willie Mae Berry Pugh | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2013 Teal Court, Hephzibah, GA 30815 | 2017-08-28 |
| 1881116721 | Springhill Manor Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 600 Spring Hill Drive, Covington, GA 30016 | 2017-07-12 |
| 1093175283 | Peaceful River Residential Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 746 Rudgate Rd, Columbus, GA 31904-2929 | 2016-03-01 |
| 1548649494 | Prestige Community Living Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2328 Bigwood Trl, Atlanta, GA 30349-9049 | 2015-05-26 |
| 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.