FC OF GEORGIA INC (NPI# 1619959251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619959251 |
| Entity Type | Organization |
| Organization Name | FC OF GEORGIA INC |
| Other Organization Name | INTREPID USA HEALTHCARE SERVICES |
| Practice Address |
650 Scranton Rd Suite G & H Brunswick GA 31520-1927 |
| Mailing Address |
4055 Valley View Ln 5th Floor Dallas TX 75244-5074 |
| Practice Telephone | 9122643640 |
| Practice Fax Number | 9122620014 |
| Mailing Telephone | 2144453750 |
| Mailing Fax Number | 2144453902 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2016-04-11 |
| Authorized Official Name | MR. PAUL D FOSTER (CEO) |
| Authorized Official Telephone | 2144453750 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 063277H | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 392849492C | 05 |
| Other Name | Type Code |
|---|---|
| Intrepid USA Healthcare Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558343145 | Fc of Georgia Inc | Home Health | 355 Northside Drive, Valdosta, GA 31602-1861 | 2005-11-18 |
| Street Address |
650 SCRANTON RD SUITE G & H |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31520-1927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073696175 | Golden Isles Home Care Inc. | Durable Medical Equipment & Medical Supplies | 650 Scranton Rd, Ste F, Brunswick, GA 31520-1927 | 2006-10-23 |
| 1932218617 | Costal Georgia Vein Center, Inc | Surgery | 650 Scranton Rd, Suite B, Brunswick, GA 31520-1927 | 2006-08-29 |
| 1225054471 | Southwest Mobility Incorporated | Durable Medical Equipment & Medical Supplies | 650 Scranton Rd, Suite A, Brunswick, GA 31520-1927 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760953434 | David S Deuser Md & Associates PC | Psychiatry & Neurology | 7 Saint Andrews Court, Brunswick, GA 31520 | 2018-12-06 |
| 1063961845 | Irene Limon | Licensed Practical Nurse | 2009 Ellis Street, Brunswick, GA 31520 | 2016-09-22 |
| 1770936551 | Elaine Latimer-tandy | Counselor | 1801 Gloucester St Ste E, Brunswick, GA 31520 | 2016-07-18 |
| 1710336326 | Giva, Inc. | Home Health | 8 St Andrews Court, Brunswick, GA 31520 | 2016-06-06 |
| 1447618525 | Parmelee Eye Care LLC | Point of Service | 1909 Gloucester St, Brunswick, GA 31520 | 2016-02-04 |
| 1578947800 | Holly Diskin Kinsey | Nurse Practitioner | 3400 Parkwood Drive, Brunswick, GA 31520 | 2015-07-16 |
| 1679976419 | Miriam Hosey | Registered Nurse | 2747 Fourth Street, Glynn County Health Dept., Brunswick, GA 31520 | 2014-10-08 |
| 1558779348 | Tracey Renee Price | Internal Medicine | 3025 Shrine Rd Ste 290, Brunswick, GA 31520 | 2014-07-24 |
| 1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
| 1699193599 | Enrique Martinez, M.d., P.C. | Internal Medicine | 3114 A Shrine Road, Brunswick, GA 31520 | 2014-03-29 |
| Find all providers in zip 31520 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453063 | Darlene Toth | Home Health | 4254 Sleepy Hollow Rd, Brunswick, OH 44212-4305 | 2020-09-28 |
| 1093369803 | Chariot Homehealth Care & Staffing Agency | Home Health | 1431 Troon Ave, Brunswick, OH 44212-3265 | 2019-07-30 |
| 1457824039 | Infinity Health Care Agency LLC | Home Health | 248 Rose Dr Ste 104, Brunswick, GA 31520-2944 | 2019-01-07 |
| 1164977765 | Melanie Wurm | Home Health | 3886 Grafton Rd, Brunswick, OH 44212-2132 | 2016-08-24 |
| 1710336326 | Giva, Inc. | Home Health | 8 St Andrews Court, Brunswick, GA 31520 | 2016-06-06 |
| 1821444050 | Art Home Care, LLC | Home Health | 4479 New Jesup Hwy Ste 103, Brunswick, GA 31520-1693 | 2016-05-06 |
| 1811371065 | Concerned Companion Care | Home Health | 5971 Suite C New Jesup Hwy, Brunswick, GA 31525-9518 | 2015-07-17 |
| 1952641417 | 2cs Home Health Services, Inc. | Home Health | 4353 Us Highway 82, Brunswick, GA 31523-7730 | 2013-02-20 |
| 1356695795 | Tlc Home Health Care | Home Health | 208 Hemlock Ct, # 205, Brunswick, OH 44212-1659 | 2012-11-07 |
| 1174810733 | Qualified Health | Home Health | 156 Drew Cir, Brunswick, GA 31525-1036 | 2011-07-05 |
| Find all providers in BRUNSWICK | ||||
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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.