SUNCREST HOME HEALTH OF GEORGIA, INC (NPI# 1447417639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447417639 |
| Entity Type | Organization |
| Organization Name | SUNCREST HOME HEALTH OF GEORGIA, INC |
| Other Organization Name | SUNCREST HOME HEALTH |
| Practice Address |
2400 Lake Park Dr Se Ste 140 Smyrna GA 30080-8982 |
| Mailing Address |
9510 Ormsby Station Rd Ste 300 Louisville KY 40223-5016 |
| Practice Telephone | 7704291455 |
| Practice Fax Number | 7708019529 |
| Mailing Telephone | 5028911000 |
| Mailing Fax Number | 5028911427 |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2020-08-14 |
| Authorized Official Name | MR. NICHOLAS GACHASSIN III (SECRETARY/TREASURER) |
| Authorized Official Telephone | 3372331307 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 033074 | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003116540A | 05 |
| Other Name | Type Code |
|---|---|
| SunCrest Home Health | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1770 The Exchange, Suite 140, Atlanta, GA 30339 | 7704291455 | 6783544755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801044003 | Suncrest Home Health of Georgia, Inc | Home Health | 3000 Corporate Center Dr Ste 260, Morrow, GA 30260-4136 | 2008-09-03 |
| Street Address |
2400 LAKE PARK DR SE STE 140 |
| City | SMYRNA |
| State | GA |
| Zip Code | 30080-8982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205169 | Suny Varughese | Nurse Practitioner | Minute Clinic, 2994 Atlanta Rd, Se, Smyrna, GA 30080 | 2020-08-11 |
| 1891287645 | Provident Group - Creekside Properties LLC | Alzheimer Center (Dementia Center) | 4838 South Cobb Drive, Smyrna, GA 30080 | 2018-06-06 |
| 1710490743 | Alina Rim | Registered Nurse | 4532 Chelton Ct Se, Smyrna, GA 30080 | 2017-11-13 |
| 1932626488 | Richard Kyle Davis | Pharmacist | 2955 Atlanta Rd Se, Smyrna, GA 30080 | 2017-08-25 |
| 1982071163 | Amelia Rafaela Turrubiates-huacuja | Counselor | 1246-c Concord Rd, Suite 101, Smyrna, GA 30080 | 2015-08-24 |
| 1275919755 | Anne Waldner Rohling | Physical Therapist | 1155 Concord Rd Se Ste 210, Smyrna, GA 30080 | 2015-08-06 |
| 1790167856 | Kay Yetunde Johnson | Nurse Practitioner | 3001 Lusk Dr, Smyrna, GA 30080 | 2015-06-25 |
| 1689055436 | Anew You Couneling, LLC | Community/Behavioral Health | 3188 Atlanta Rd, Smyrna, GA 30080 | 2015-06-17 |
| 1457766370 | Trondi Jerry | Counselor | 3381 Atlanta Rd Se, Smyrna, GA 30080 | 2014-06-30 |
| 1093081903 | Ashish Kapila | Podiatrist | Wellstar Podiatry, 4441 Atlanta Rd Se Suite 215, Smyrna, GA 30080 | 2012-03-25 |
| Find all providers in zip 30080 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588282560 | Christacare, LLC | Home Health | 195 Chicken Pike, Smyrna, TN 37167-5059 | 2020-07-07 |
| 1245877950 | Five Points Healthcare of Ga LLC | Home Health | 2400 Lake Park Dr Se Ste 160, Smyrna, GA 30080-8986 | 2019-12-02 |
| 1093363509 | Blissful Healthcare | Home Health | 1245 Creekside Pl Se, Smyrna, GA 30082-4883 | 2019-08-28 |
| 1841665403 | Akr Enterprise Inc | Home Health | 2048 Caladonia Way, Smyrna, TN 37167-4030 | 2015-12-08 |
| 1912310533 | Primary Therapy Services LLC | Home Health | 601 Woodhaven Drive, Smyrna, TN 37167 | 2014-06-11 |
| 1952671711 | Cindys Elderly Care Inc. | Home Health | 1308 Springbrook Trl Se, Smyrna, GA 30082-3176 | 2012-01-10 |
| 1215239710 | Blackland Home Care, LLC | Home Health | 177 Ennisbrook Dr Se, Smyrna, GA 30082-2451 | 2010-12-03 |
| 1174834998 | Dinwiddie Home Healthcare LLC | Home Health | 3050 Spring Hill Pkwy Se, H, Smyrna, GA 30080-6007 | 2010-06-25 |
| 1164609921 | Mcpherson Health and Rehabilitation | Home Health | 1254 Concord Rd Se Ste 204, Smyrna, GA 30080-4371 | 2008-01-23 |
| 1669664678 | Quality Care First | Home Health | 4016 Snowbird Dr, Smyrna, TN 37167-7554 | 2007-08-14 |
| Find all providers in SMYRNA | ||||
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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.