A GOLDEN LIFE PERSONAL CARE HOME, LLC


Address: 3153 Dove Ct, B, Snellville, GA 30078-3652
Phone: 8774303828

A GOLDEN LIFE PERSONAL CARE HOME, LLC (NPI# 1417297425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417297425
Entity Type Organization
Organization Name A GOLDEN LIFE PERSONAL CARE HOME, LLC
Practice Address 3153 Dove Ct
B
Snellville
GA 30078-3652
Practice Telephone 8774303828
Practice Fax Number 4042208856
Enumeration Date 2013-02-28
Last Update Date 2013-02-28
Authorized Official Name GENA GOLDEN (DIRECTOR)
Authorized Official Telephone 8774303828
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider Identifier

State Issuer Identifier Type Code
GA 507647604N 05
GA 507647604I 05
GA 507647604B 05
GA 507647604G 05
GA 507647604H 05
GA 504647604K 05
GA 504647604M 05
GA 504647604O 05
GA 504647604L 05
GA 507647604C 05
GA 507647604J 05
GA 507647604E 05
GA 507647604F 05

Office Location

Street Address 3153 DOVE CT
B
City SNELLVILLE
State GA
Zip Code 30078-3652

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NPI Name Taxonomy Address Enumeration
1619594561 Steven Nguyen Optometrist 1905 Scenic Hwy S #1130, Snellville, GA 30078 2020-06-26
1891320776 Youstina Harkas Optometrist 1679 Scenic Hwy S 203, Snellville, GA 30078 2020-03-11
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1679119903 Lashon Poole Wells Social Worker 1350 Scenic Highway Ste 266, 1350 Scenic Highway Ste 266, Snellville, GA 30078 2019-11-21
1427601426 Aemad Heavenly Joy Senior Homecare & Developmental Disabilities LLC Registered Nurse 1350 Scenic Highway Suite #266, Sneville, GA 30078 2019-07-18
1063975548 Joanne Mcdougal Patterson Nurse Practitioner 1350 Scenic Hwy N Ste 226, Snellville, GA 30078 2019-04-10
1689144263 Israel Branford Physical Therapist 1575 Scenic Hwy Ste 100, Snellville, GA 30078 2018-11-27
1902382997 Brittany Dupree Dermatology 2383 Pate Street North, Snellville, GA 30078 2018-07-13
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366063737 Therapeutic Resolutions LLC Community/Behavioral Health 2330 Scenic Hwy S Ste 225, Snellville, GA 30078-3115 2020-04-27
1235786419 Preventative Health & Wellness, LLC Community/Behavioral Health 2310 Henry Clower Blvd Ste A, Snellville, GA 30078-5776 2019-08-21
1124522818 Wecare Counseling Services, LLC Community/Behavioral Health 2330 Scenic Hwy S Ofc Suite, Snellville, GA 30078-3115 2018-03-19
1508368051 Sovereign Medical Services, Inc Community/Behavioral Health 3806 Wood Hollow Way, Snellville, GA 30039 2018-03-01
1841736444 M.a.c. Youth Services Community/Behavioral Health 2365 Thackery Rd, Snellville, GA 30078-4141 2017-01-06
1871955781 Art of Therapy Wellness Center Community/Behavioral Health 4598 Ash Tree St, Snellville, GA 30039-3361 2016-03-22
1235560269 C2 It, LLC Community/Behavioral Health 3231 Lenora Church Rd, Snellville, GA 30039-4803 2013-12-02
1427304633 Sunshine Dreamassisted Living LLC Community/Behavioral Health 4841 Lenora Church Rd, Snellville, GA 30039-7707 2012-07-25
1902189723 Haven Developmental Care Community/Behavioral Health 4794 Michael Jay St, Snellville, GA 30039-7630 2011-09-28
1164731576 A Place of Serenity, Inc. Community/Behavioral Health 3755 Cherie Glen Rd, Snellville, GA 30039-4311 2010-10-03
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Competitor

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City SNELLVILLE
Zip Code 30078

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Dataset Information

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.

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