INTEGRITY PERSONAL CARE HOME (NPI# 1508160045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508160045 |
| Entity Type | Organization |
| Organization Name | INTEGRITY PERSONAL CARE HOME |
| Other Organization Name | INTEGRITY PERSONAL CARE HOME |
| Practice Address |
4192 Kenwood Trl Atlanta GA 30349-1979 |
| Practice Telephone | 4049571991 |
| Practice Fax Number | 4049635357 |
| Mailing Telephone | 4049571991 |
| Mailing Fax Number | 4049635357 |
| Enumeration Date | 2010-12-25 |
| Last Update Date | 2010-12-25 |
| Authorized Official Name | MRS. LAURA KAKULU EMUOYIBO (ADMINISTRATOR) |
| Authorized Official Telephone | 4049571991 |
| Authorized Official Credential | BSC LPN |
| Is Organization Subpart | Y |
| Parent Organization Name | JC GLOBAL GROUP INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| INTEGRITY PERSONAL CARE HOME | Doing Business As Name - Organization |
| Street Address |
4192 KENWOOD TRL |
| City | ATLANTA |
| State | GA |
| Zip Code | 30349-1979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164726204 | Intergrity Personal Care Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4192 Kenwood Trl, Atlanta, GA 30349-1979 | 2011-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185686 | Kmb Diagnostics | Durable Medical Equipment & Medical Supplies | 941 Flat Shoals Rd, Atlanta, GA 30349 | 2019-10-09 |
| 1114575859 | Justin Vassell | Registered Nurse | 1903 Phoenix Boulevard, Suite 200, College Park, GA 30349 | 2019-08-27 |
| 1841856663 | Kennyetta Danielle Watkins | Counselor | 1431 Riverwalk Ln, Apt. F, College Park, GA 30349 | 2019-05-16 |
| 1275002636 | Patriot Healthcare of Georgia, LLC | Family Medicine | 1587 Phoenix Boulevard, Suite 6, College Park, GA 30349 | 2018-11-15 |
| 1669971875 | Ee Consulting Solution | Case Management | 6320 Topaz Tral, Arlanta, GA 30349 | 2018-02-03 |
| 1629595640 | Shayla Bouie | Contractor | 5420 Riverdale Rd Apt D17, Atlanta, GA 30349 | 2017-08-30 |
| 1114475563 | Jasmine V Mccully | Social Worker | 5864 Summergien Lane, College Park, GA 30349 | 2016-09-14 |
| 1639537681 | Shelia Thornton | Counselor | 5856 Seabright Lane, Atlanta, GA 30349 | 2016-02-05 |
| 1346610177 | Joanne Resilard | Nurse Practitioner | 2931 Herron Ln Sw, Atlanta, GA 30349 | 2015-10-06 |
| 1063805091 | Southwest Atlanta Medical & Rehabilitation Clinic LLC | Family Medicine | 495 85 Circle, Suite 100, Atlanta, GA 30349 | 2015-03-16 |
| Find all providers in zip 30349 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639619307 | Medicinal Plus | Skilled Nursing Facility | 2443 Center Pointe Cir Sw, Atlanta, GA 30315-7309 | 2017-02-28 |
| 1164972188 | Marie Rosemonde Nozil-bernadel | Skilled Nursing Facility | 3715 Northside Pkwy Nw Bldg 200, Atlanta, GA 30327-2882 | 2016-10-13 |
| 1730639022 | Dunwoody Operating Company LLC | Skilled Nursing Facility | 5470 Meridian Marks Rd Bldg E, Atlanta, GA 30342-1624 | 2016-10-11 |
| 1447668538 | Winnie-stowell Hospital District | Skilled Nursing Facility | 1104 S. William Street, Atlanta, TX 75551 | 2014-08-01 |
| 1073927018 | Winnie-stowell Hospital District | Skilled Nursing Facility | 200 Live Oak Dr, Atlanta, TX 75551-2802 | 2014-06-18 |
| 1669723987 | Tender Touch Private Home Care, LLC | Skilled Nursing Facility | 215 Hilltop Dr Sw, Atlanta, GA 30315-6019 | 2012-09-26 |
| 1811269533 | Rose Haven Healthcare LLC | Skilled Nursing Facility | 200 Live Oak St, Atlanta, TX 75551-2802 | 2012-01-27 |
| 1144509613 | Lenbrook Square Foundation, Inc. | Skilled Nursing Facility | 3747 Peachtree Rd Ne, Atlanta, GA 30319-1360 | 2011-08-15 |
| 1942502364 | Partnership for Health Health Care | Skilled Nursing Facility | 905 James Jackson Pkwy Nw Ste 6, Atlanta, GA 30318-9501 | 2010-11-18 |
| 1720109408 | Ssc Atlanta Operating Company LLC | Skilled Nursing Facility | 1500 S Johnson Ferry Rd Ne, Atlanta, GA 30319-1612 | 2007-04-02 |
| Find all providers in ATLANTA | ||||
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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.