MS. ROSA AMANDA HILL (NPI# 1508420613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508420613 |
| Entity Type | Individual |
| Full Name | MS. ROSA AMANDA HILL |
| Practice Address |
1073 Davis Rd Culloden GA 31016-5843 |
| Practice Telephone | 4782839448 |
| Mailing Telephone | 4782839448 |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-04-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
GA | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396089082 | Rosa Laverne Hill | Behavioral Analyst | 509 Garland St, Moore, OK 73160-4222 | 2012-11-19 |
| 1467803999 | Rosa Jane Hill | Social Worker | 652 E Cloverland Dr Ste 2, Ironwood, MI 49938-1422 | 2016-06-27 |
| 1033431135 | Rosa B. Hill | Nurse Practitioner | 2885 Alexandria Way, Highland Heights, KY 41076 | 2010-02-17 |
| Street Address |
1073 DAVIS RD |
| City | CULLODEN |
| State | GA |
| Zip Code | 31016-5843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174143911 | Iris Rutherford-hare | In Home Supportive Care | 684 Billy Harris Rd, Culloden, GA 31016-6010 | 2020-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255945168 | Michael Joseph West | Technician | 1025 Holley Brook Dr, Culloden, WV 25510-9359 | 2020-09-08 |
| 1427660430 | Chelsea Renea Call | Technician | 139 E 1st St, Culloden, WV 25510-9689 | 2020-08-20 |
| 1174143911 | Iris Rutherford-hare | In Home Supportive Care | 684 Billy Harris Rd, Culloden, GA 31016-6010 | 2020-04-22 |
| 1720569601 | Amber Foreman | Case Manager/Care Coordinator | 2188 Dudding Ln, Culloden, WV 25510-9556 | 2018-08-28 |
| 1174075659 | Maggie Collins | Specialist/Technologist | 1017 Holley Brook Dr, Culloden, WV 25510-9359 | 2016-10-31 |
| 1871907865 | Keelee Goode | Specialist | 1027 Jane Dr, Culloden, WV 25510-9512 | 2014-06-17 |
| 1831475227 | Bobbie Jane Taylor | Nurse Practitioner | 16 James Cir, Culloden, WV 25510-9049 | 2011-10-29 |
| 1104117761 | Diversicare Rose Terrace, LLC | Skilled Nursing Facility | 30 Hidden Brook Way, Culloden, WV 25510 | 2011-04-29 |
| 1043821150 | Johnifer Sue Chapman-glagg | Technician | 2071 Main St, Culloden, WV 25510-9747 | 2020-08-12 |
| 1912517434 | John Paul Lombardi | Technician | 16 James Cir, Culloden, WV 25510-9049 | 2020-08-10 |
| Find all providers in CULLODEN | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174437 | United Hands Support Services | Custodial Care Facility | 735 Ridge Rd, Canton, GA 30114-4170 | 2020-11-06 |
| 1679174429 | Golden Peak Senior Living Corp | Custodial Care Facility | 411 Edmond St, Calhoun, GA 30701-5334 | 2020-11-06 |
| 1023615531 | Lillian Womble | Custodial Care Facility | 3232 Union Church Road, Warthen, GA 31094 | 2020-10-07 |
| 1750995155 | Jacqueline Dingle | Custodial Care Facility | 604 Sugarbush Cir, Savannah, GA 31406-4434 | 2020-09-02 |
| 1114549763 | Idella's Angels | Custodial Care Facility | 270 13th Ave Sw, Cairo, GA 39828-3423 | 2020-05-16 |
| 1356962062 | Brendas Love Personal Care Home LLC | Custodial Care Facility | 8239 Queens Dr, Jonesboro, GA 30238-2946 | 2020-05-04 |
| 1801421094 | Lj's Personal Care Home, LLC | Custodial Care Facility | 415 E 18th St Sw, Rome, GA 30161-6544 | 2020-03-08 |
| 1356984041 | Manuel Carl Mckenzie IIi | Custodial Care Facility | 4893 Candlewood Ln, Stone Mountain, GA 30088-1605 | 2019-10-24 |
| 1457904310 | Renaissance Healthcare LLC | Custodial Care Facility | 419 Airport Rd, Griffin, GA 30224-4834 | 2019-07-19 |
| 1225697873 | Tahirah Johnston | Custodial Care Facility | 1657 Hallmark Hills Dr, Griffin, GA 30223-8790 | 2019-06-07 |
| 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.