VICTORIA PRESONAL CARE HOME LLC (NPI# 1467896407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467896407 |
| Entity Type | Organization |
| Organization Name | VICTORIA PRESONAL CARE HOME LLC |
| Practice Address |
2666 Nancy Dr Macon GA 31206-4941 |
| Practice Telephone | 4787856600 |
| Mailing Telephone | 4787856600 |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2013-04-22 |
| Authorized Official Name | VICTORIA GIBSON STEWART (CEO/ADMINSTRATOR) |
| Authorized Official Telephone | 4787856600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | PCH006424 | GA | Nursing & Custodial Care Facilities |
| Street Address |
2666 NANCY DR |
| City | MACON |
| State | GA |
| Zip Code | 31206-4941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881904282 | Victoria Personal Care Home #i | Home Health | 2666 Nancy Dr, Macon, GA 31206-4941 | 2010-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992267892 | Andel Anthony Higgins | Family Medicine | 3780 Eisenhower Parkway, Macon, GA 31206 | 2019-04-01 |
| 1437651924 | Amanda Mckenzie | Clinic/Center | Us Renal Care 657 Hemlock Street, Macon, GA 31206 | 2018-03-01 |
| 1003337718 | Shantha Tyhessia Jones | Home Health | 2453 Shea Drive, Macon, GA 31206 | 2017-07-03 |
| 1043683527 | Autumn Anderson Lucas | Nurse Practitioner | 100 University Parkway, Macon, GA 31206 | 2015-11-05 |
| 1306273651 | Monique Whipple | Speech-Language Pathologist | 164 Summer Grove Lane, Macon, GA 31206 | 2013-10-02 |
| 1710956750 | Total Renal Care Inc | Clinic/Center | 2494 2nd St, Macon, GA 31206 | 2006-03-14 |
| 1396710828 | Ruth Macphie Hagemann | Counselor | 100 University Pkwy, Macon, GA 31206 | 2006-02-20 |
| 1609861129 | Rickey Harton Jr. | Optometrist | 3353 Mercer University Drive, Macon, GA 31206 | 2005-09-12 |
| 1104453711 | Lise Wendy Forestal | Student in an Organized Health Care Education/Training Program | 3780 Eisenhower Parkway, Macon, GA 31206 | 2020-03-24 |
| 1346702172 | Alayna Dukes | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206 | 2019-04-01 |
| Find all providers in zip 31206 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992265193 | Bibb Alc LLC | Assisted Living Facility | 4901 Harrison Rd, Macon, GA 31206-4135 | 2019-03-22 |
| 1700389558 | Christine L Wiggins | Assisted Living Facility | 1154 Magnolia Dr, Macon, GA 31217-4223 | 2018-03-16 |
| 1811449796 | Caroline Renfroe | Assisted Living Facility | 4732 Sgoda Rd, Macon, GA 31217-8855 | 2016-10-26 |
| 1770821050 | Healing Hands Personal Care Home | Assisted Living Facility | 1157 Rocky Creek Rd, Macon, GA 31206-2639 | 2013-01-22 |
| 1033484928 | Life Trust America, Inc | Assisted Living Facility | 6191 Peake Rd, Macon, GA 31220-3957 | 2012-03-12 |
| 1164622387 | Spain Personal Care Home, Inc | Assisted Living Facility | 3075 Antioch Rd, Macon, GA 31206-1545 | 2007-07-25 |
| 1912113242 | Bristol Care, Inc. | Assisted Living Facility | 707 Ranchland Dr, Macon, MO 63552-1994 | 2007-05-15 |
| 1821210964 | Macon Senior Living, LLC | Assisted Living Facility | 250 Water Tower Court, Macon, GA 31210 | 2007-05-02 |
| 1306493416 | Snh Georgia Tenant LLC | Assisted Living Facility | 6191 Peake Rd, Macon, GA 31220-3958 | 2019-08-22 |
| 1033546957 | Quality Choice PCh | Assisted Living Facility | 3075 Antioch Rd, Macon, GA 31206-1545 | 2013-10-09 |
| Find all providers in MACON | ||||
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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.