BEAUVAIS HOME CARE LLC (NPI# 1588031769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588031769 |
| Entity Type | Organization |
| Organization Name | BEAUVAIS HOME CARE LLC |
| Practice Address |
3400 Chapel Hill Rd Suite 309 Douglasville GA 30135-1739 |
| Practice Telephone | 6787415315 |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |
| Authorized Official Name | SHAWANDA WORTHY (ADMINISTRATOR) |
| Authorized Official Telephone | 6787415315 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164808358 | Beauvais Home Care LLC | In Home Supportive Care | 1400 Commerce Blvd, Suite 11, Anniston, AL 36207-9451 | 2015-08-11 |
| Street Address |
3400 CHAPEL HILL RD SUITE 309 |
| City | DOUGLASVILLE |
| State | GA |
| Zip Code | 30135-1739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154420214 | Felicia L Berry-mitchell | Psychologist | 3400 Chapel Hill Rd, Suite 100 Pmb #08, Douglasville, GA 30135-1739 | 2006-09-22 |
| 1215494752 | Dependable Care LLC | Home Health | 3400 Chapel Hill Rd, Douglasville, GA 30135-1739 | 2019-02-20 |
| 1285188839 | Grace Hearing and Language Services, LLC | Clinic/Center | 3400 Chapel Hill Rd, Douglasville, GA 30135-1739 | 2016-08-12 |
| 1730632290 | Nichelle J Wilson | Audiologist | 3400 Chapel Hill Rd, Douglasville, GA 30135-1739 | 2016-08-01 |
| 1932567732 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 3400 Chapel Hill Rd, Douglasville, GA 30135-1739 | 2016-02-08 |
| 1063885929 | Foot and Ankle Specialist of Georgia, LLC | Podiatrist | 3400 Chapel Hill Rd, Suite 321, Douglasville, GA 30135-1739 | 2015-11-02 |
| 1467864553 | National Health and Public Safety | Dietitian, Registered | 3400 Chapel Hill Rd, Suite 100-17, Douglasville, GA 30135-1739 | 2014-05-23 |
| 1982029393 | Canzada Twyman | Counselor | 3400 Chapel Hill Rd, Suite 100, Douglasville, GA 30135-1739 | 2014-02-21 |
| 1114357886 | Kathy Brown-bragg | Social Worker | 3400 Chapel Hill Rd, Douglasville, GA 30135-1739 | 2013-11-18 |
| 1316382948 | Sylvia Krow | Counselor | 3400 Chapel Hill Rd, Douglasville, GA 30135-1739 | 2013-05-09 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1326428749 | Lorraine Cook | Custodial Care Facility | 8387 Hollis St Apt D, Douglasville, GA 30134-7046 | 2015-06-01 |
| 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 | ||||
| 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.