MARLENE MS CARBY (NPI# 1497052435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497052435 |
| Entity Type | Individual |
| Full Name | MARLENE MS CARBY |
| Practice Address |
5627 Mayfair Crossing Dr Lithonia GA 30038-1187 |
| Mailing Address |
2108 Rotunda Ct Conyers GA 30094-1118 |
| Practice Telephone | 6785482900 |
| Mailing Telephone | 6785482900 |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2011-02-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RN | RN188675 | 01 |
| Street Address |
5627 MAYFAIR CROSSING DR |
| City | LITHONIA |
| State | GA |
| Zip Code | 30038-1187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548814825 | Cynthia Thomas | Nurse's Aide | 5021 Chupp Way, Lithonia, GA 30038 | 2019-07-25 |
| 1558812131 | Fresenius Medical Care Redan, LLC | Clinic/Center | 8425 Mall Parkway, Lithonia, GA 30038 | 2016-10-19 |
| 1730637059 | Flora's Loving Hands | Psychologist | 4891 Eagles Ridge Loop, Lithonia, GA 30038 | 2016-09-15 |
| 1679921886 | Mercy Oyerinde | Nurse Practitioner | 4742 Lanten Court., Lithonia, GA 30038 | 2016-05-27 |
| 1982020996 | Dina Rebecca Smith | Counselor | 6474 Gina Agha Circle, Lithonia, GA 30038 | 2014-03-14 |
| 1164765889 | Kimberly A Weems | Home Health | 6694 Brownsmill Ferry Drive, Lithonia, GA 30038 | 2013-04-01 |
| 1073850988 | Pain and Spine Solutions, LLC | Specialist | 3974 Glen Park Drive, Lithonia, GA 30038 | 2013-01-11 |
| 1629337514 | Fozi Ouse Adem | Pharmacist | 3140 Turner Hill Road, Lithonia, GA 30038 | 2012-05-11 |
| 1043579402 | Elizabeth Anne Berlin | Physician Assistant | 8825 Mall Parkway, Suite 150, Lithonia, GA 30038 | 2012-05-04 |
| 1730467911 | From Our Heart To Your Heart Personal Care Home | Custodial Care Facility | 4485 Idlewood Park, Lithonia, GA 30038 | 2011-07-22 |
| Find all providers in zip 30038 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779481 | Karen Maria Jefferson | Technician | 1350 Ridenour Blvd Nw Apt 1303, Kennesaw, GA 30152-4588 | 2020-10-30 |
| 1114525193 | Bivens Nursing Services | Technician | 1123 Brown Ave, Columbus, GA 31906-2404 | 2020-10-13 |
| 1114539723 | Lisa Anita Riley | Technician | 3020 Bedrock Dr, Villa Rica, GA 30180-3422 | 2020-08-17 |
| 1770194458 | Michelle Perdue | Technician | 611 Trove Dr Nw, Rome, GA 30165-1065 | 2020-08-14 |
| 1972129914 | My Healing Angels LLC | Technician | 15 Mary Jane Ln, Covington, GA 30016-2325 | 2020-06-24 |
| 1053934802 | Simplicitys Personal Care Home LLC | Technician | 6741 Church St Ste 2, Riverdale, GA 30274-2249 | 2020-05-27 |
| 1811519622 | Torina L Collins | Technician | 103 Lavender St, Fort Valley, GA 31030-2625 | 2020-05-14 |
| 1225650658 | Melinda Frank | Technician | 2409 Mallard Ln # B, Hephzibah, GA 30815-5831 | 2020-05-07 |
| 1083248066 | Comfort Care Solutions Inc. | Technician | 2760 Broxton Mill Ct, Snellville, GA 30039-4437 | 2020-02-27 |
| 1942843792 | Ladonna Griffin | Technician | 813 Oakland Ave Sw, Rome, GA 30165-4125 | 2019-10-24 |
| Find all providers with the same taxonomy | ||||
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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.