MRS. GENNIENE LYNETT DOLLISON


Address: 7071 Stephens Ct, Morrow, GA 30260-3236
Phone: 4049014108

MRS. GENNIENE LYNETT DOLLISON (NPI# 1497095665) 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) 1497095665
Entity Type Individual
Full Name MRS. GENNIENE LYNETT DOLLISON
Other Name MS. GENNIENE LYNETT SIMON
Practice Address 7071 Stephens Ct
Morrow
GA 30260-3236
Practice Telephone 4049014108
Mailing Telephone 4049014108
Enumeration Date 2013-02-25
Last Update Date 2015-09-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 372600000X Adult Companion Nursing Service Related Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
GA DEFENSIVE DRIVER CERTIFICATION 771094 01

Office Location

Street Address 7071 STEPHENS CT
City MORROW
State GA
Zip Code 30260-3236

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Taxonomy Information

Taxonomy Code 372600000X
Grouping Nursing Service Related Providers
Classification Adult Companion

Taxonomy Definition

An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548861156 Angela Emanuel Morris Adult Companion 3805 Bayside Psge Nw, Acworth, GA 30101-4384 2020-11-02
1194330787 Quanisha Aliyah Vera Adult Companion 3805 Nicoll Dr, Augusta, GA 30906-9242 2020-09-10
1720690852 Shermaine Demetric Cleveland Adult Companion 1508 Teakwood Dr, Griffin, GA 30223-1062 2020-08-19
1780202960 Shabaka Fletcher Adult Companion 901 Stoneview Trl Nw, Lilburn, GA 30047-7127 2020-07-14
1235747403 Abundant Heart Healthcare Solution, LLC Adult Companion 6361 Talokas Lane, Ste C 140-279, Columbus, GA 31909 2020-07-14
1447878020 Shanta Lafaye Watkins Adult Companion 103 Ashlund Dr, Centerville, GA 31028-1262 2020-07-09
1437775764 The Maines Group, LLC Adult Companion The Maines Group, LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 2020-06-23
1174146682 Atrianon, LLC Adult Companion 9048 River Bend Ct, Villa Rica, GA 30180-4157 2020-05-19
1811518616 Laquinta A Hutchins Adult Companion 7684 Bernardo Dr, Riverdale, GA 30296-7191 2020-05-03
1932737046 Samagas House Org Adult Companion 1500 Mountain View Cirlcle, Conyers, GA 30014 2020-04-01
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Competitor

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City MORROW
Zip Code 30260

Improve Information

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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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