GLENDA SMITH (NPI# 1487899779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487899779 |
| Entity Type | Individual |
| Full Name | GLENDA SMITH |
| Credential | PRIVATE HEALTH CARE |
| Practice Address |
4160 Jackie Dr Douglasville GA 30135-4454 |
| Practice Telephone | 7709421120 |
| Practice Fax Number | 7709426512 |
| Mailing Telephone | 7709421120 |
| Mailing Fax Number | 7709426512 |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2008-12-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 048-R-0500 | GA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548604531 | Glenda Wilson Smith | Psychologist | 250 Hyle Ave, Murfreesboro, TN 37128-8535 | 2013-04-22 |
| 1316236748 | Glenda Smith | Counselor | 6526 S Woodlawn Ave # 3, Chicago, IL 60637-4306 | 2011-04-06 |
| 1629243902 | Glenda Faye Smith | Massage Therapist | 15041 Faust, Detroit, MI 48223 | 2008-04-28 |
| 1477554418 | Glenda Ruth Smith | Radiology | 1505 W. Sherman Ave., Radiation Oncology, Vineland, NJ 08360-6912 | 2005-08-01 |
| 1770733453 | Glenda Marie Smith | Licensed Practical Nurse | 608 S Trenton St, Ruston, LA 71270-5041 | 2008-09-30 |
| 1497933980 | Glenda L Smith | Nurse Practitioner | 203 W Lee St, Tuskegee, AL 36083-1719 | 2008-02-06 |
| 1457572398 | Glenda J Smith | Psychologist | 1010 E 10th St, Tucson, AZ 85719-5813 | 2007-05-01 |
| 1134346513 | Glenda Frances Smith | Dentist | 5608 Parkcrest Dr, Suite 250, Austin, TX 78731-4975 | 2007-04-19 |
| Street Address |
4160 JACKIE DR |
| City | DOUGLASVILLE |
| State | GA |
| Zip Code | 30135-4454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265043301 | Heart & Soul Wellness Solutions LLC | Social Worker | 4752 Pepper Tree Lane, Douglasville, GA 30135 | 2020-08-12 |
| 1477176923 | R & J Health Care | Clinic/Center | 6853b Douglas Blvd Ste B, Douglasville, GA 30135 | 2020-05-19 |
| 1003479411 | The Sister Circle of Love and Empowerment LLC | Clinic/Center | 4706 Boyer Glen Dr., Douglasville, GA 30135 | 2019-04-22 |
| 1457825358 | Marcia Ann-marie Wilson | Nurse Practitioner | 4279 Caroline Court, Douglasville, GA 30135 | 2019-01-14 |
| 1225564917 | Danielle Doebereiner-brown | Nurse Practitioner | 3872 Ga-5, Douglasville, GA 30135 | 2017-05-02 |
| 1851832430 | Jennifer Williams | Physical Therapist | 4999 Presley Mill Rd, Douglasville, GA 30135 | 2017-03-15 |
| 1316484686 | Geneva Brent | Licensed Practical Nurse | 2109 Fairburn Road, Douglasville, GA 30135 | 2017-01-25 |
| 1659816288 | Stephanie Walthour | Marriage & Family Therapist | 3400 Chapel Hill Rd Ste 317, Douglasville, GA 30135 | 2017-01-05 |
| 1770932105 | Solutions 2 Wellness and Recovery,llc | Social Worker | 2256 Greenwood Meadows Lane, Douglasville, GA 30135 | 2016-06-07 |
| 1326408378 | Sr & L Transport Services, LLC | Non-emergency Medical Transport (VAN) | 4841 Black Bear Trail, Douglasville, GA 30135 | 2016-03-03 |
| Find all providers in zip 30135 | ||||
| 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 |
|---|---|---|---|---|
| 1659980225 | Loving Expressions Home Care, Inc. | Home Health | 12461 Veterans Memorial Hwy Ste 635, Douglasville, GA 30134-2025 | 2020-07-29 |
| 1750990073 | Gems Home Healthcare Community Ll C | Home Health | 3881 Nations Dr, Douglasville, GA 30135-3235 | 2020-07-23 |
| 1821612912 | Phaedra Rochelle Brown | Home Health | 4670 Bald Eagle Way, Douglasville, GA 30135-7489 | 2020-06-03 |
| 1265069405 | Gencare Health and Caregiver Services LLC | Home Health | 7336 Westwood Ln, Douglasville, GA 30134-1092 | 2020-03-26 |
| 1720648132 | Ulticare Health and Home Care Agency | Home Health | 4459 Bellemeade Dr, Douglasville, GA 30135-4926 | 2019-06-18 |
| 1538623129 | Divine Home Care & Staffing Agency | Home Health | 3111 Berthas Overlook, Douglasville, GA 30135-8456 | 2019-01-28 |
| 1326529280 | Sharon Logan | Home Health | 9965 Brantingham Rd, Douglasville, GA 30135-8156 | 2018-08-28 |
| 1306335971 | Cantius John Audain Jr. | Home Health | 4066 S Shelby Ln, Douglasville, GA 30135-4142 | 2018-05-08 |
| 1154833481 | Presley Home Care LLC | Home Health | 2782 Amber Forest Dr, Douglasville, GA 30135-7305 | 2017-10-26 |
| 1669981536 | We Care Home Care LLC | Home Health | 870 Dallas Hwy Ste C, Douglasville, GA 30134-3771 | 2017-09-23 |
| Find all providers in DOUGLASVILLE | ||||
| City | DOUGLASVILLE |
| Zip Code | 30135 |
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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.