JEREMY'S PLACE INC.


Address: 4910 Jonesboro Rd Ste 201, Union City, GA 30291-2087
Phone: 7709699334

JEREMY'S PLACE INC. (NPI# 1447877683) 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) 1447877683
Entity Type Organization
Organization Name JEREMY'S PLACE INC.
Practice Address 4910 Jonesboro Rd Ste 201
Union City
GA 30291-2087
Practice Telephone 7709699334
Practice Fax Number 7709699337
Mailing Telephone 7709699334
Mailing Fax Number 7709699337
Enumeration Date 2020-07-04
Last Update Date 2020-07-04
Authorized Official Name LATEISHA NICHOL JACKSON-BROWN (OWNER)
Authorized Official Telephone 7709699334
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251C00000X Day Training, Developmentally Disabled Services Agencies
N 251E00000X Home Health Agencies
N 253Z00000X In Home Supportive Care Agencies
N 261QD1600X Clinic/Center
Specialization: Developmental Disabilities
Ambulatory Health Care Facilities
N 343900000X Non-emergency Medical Transport (VAN) Transportation Services
Y 261QA0600X Clinic/Center
Specialization: Adult Day Care
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
GA 003203627B 05
GA 003203627A 05
GA 604196354A 05
GA 604196354B 05

Office Location

Street Address 4910 JONESBORO RD STE 201
City UNION CITY
State GA
Zip Code 30291-2087

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801392436 Danyell Smith Counselor 234 Elkhound Court, Union City, GA 30291 2018-04-03
1619221033 Renee Anne Critten-young Hospice Care, Community Based 4788 Jonesboro Rd, Suite A, Union City, GA 30291 2012-11-07
1891066544 Dena Renee White Occupational Therapist 9535 Lakeview Rd, Union City, GA 30291 2012-01-25
1841575354 Latoya Winston Skilled Nursing Facility 3253 Diamond Blf, Union City, GA 30291 2011-10-15
1760558407 Thelma Teresa Spears Dentist 4731 Jonesboro Rd, 220, Union City, GA 30291 2006-11-27
1629168208 Wal-mart Stores East, Lp Technician/Technologist 4375 Jonesboro Rd., Union City, GA 30291 2006-10-13
1780798314 Va Hospital Nursing Facility/Intermediate Care Facility 7264 Madison Circle, Union City, GA 30291 2006-08-19
1841220944 F & M Family Eyecare, LLC Optometrist 4375 Jonesboro Road, Union City, GA 30291 2006-07-04
1538367537 Georgia Cvs Pharmacy, L.L.C. Durable Medical Equipment & Medical Supplies 3940 Jonesboro Rd., Union City, GA 30291-0000 2007-07-11
1679819692 To The Root of Things Durable Medical Equipment & Medical Supplies 6077 Bena Ct, Union City, GA 30291-1044 2012-12-19
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Taxonomy Information

Taxonomy Code 261QA0600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Day Care

Taxonomy Definition

Definition to come...

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1609178938 Adultcare Inc. Social Daycare Program Clinic/Center 1607 Manhattan Ave, Union City, NJ 07087-5417 2010-11-18

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NPI Name Taxonomy Address Enumeration
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1720616386 Rainbow Senior Care Home Inc Clinic/Center 4405 International Blvd Ste B101, Norcross, GA 30093-3013 2020-03-30
1932733201 Perfect Care, Inc Clinic/Center 114 Sullivan Dr, Americus, GA 31709-5534 2020-02-26
1710524483 Norman Graham Clinic/Center 125 Marquis Dr, Fayetteville, GA 30214-1566 2019-12-02
1548802937 Serenity Adult Day Health, Inc Clinic/Center 95 Truman Rd, Hawkinsville, GA 31036-4643 2019-10-17
1134778749 Marietta Seniors Club LLC Clinic/Center 748 Lawrence St Ne, Marietta, GA 30060-2144 2019-09-06
1629626445 Wholecare Wellness LLC Clinic/Center 5390 Peachtree Industrial Blvd Ste 130, Norcross, GA 30071-1566 2019-08-27
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Competitor

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City UNION CITY
Zip Code 30291

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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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