ETERNAL HOPE AND LIFE, LLC (NPI# 1629384060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629384060 |
Entity Type | Organization |
Organization Name | ETERNAL HOPE AND LIFE, LLC |
Practice Address |
7349 Poppy Way Union City GA 30291-3411 |
Mailing Address |
2045 Mt. Zion Rd #337 Morrow GA 30260 |
Practice Telephone | 4045915131 |
Practice Fax Number | 4044202483 |
Mailing Telephone | 4045915131 |
Mailing Fax Number | 4044202483 |
Enumeration Date | 2010-08-24 |
Last Update Date | 2010-08-24 |
Authorized Official Name | MR. RYAN PRESTON DENNARD (CO-CEO) |
Authorized Official Telephone | 4045915131 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477855930 | Eternal Hope and Life, LLC | Assisted Living Facility | 7349 Poppy Way, Union City, GA 30291-3411 | 2010-12-03 |
Street Address |
7349 POPPY WAY |
City | UNION CITY |
State | GA |
Zip Code | 30291-3411 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477855930 | Eternal Hope and Life, LLC | Assisted Living Facility | 7349 Poppy Way, Union City, GA 30291-3411 | 2010-12-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801392436 | Danyell Smith | Counselor | 234 Elkhound Court, Union City, GA 30291 | 2018-04-03 |
1619221033 | Renee Anne Critten-young | Hospice Care, Community Based | 4788 Jonesboro Rd, Suite A, Union City, GA 30291 | 2012-11-07 |
1891066544 | Dena Renee White | Occupational Therapist | 9535 Lakeview Rd, Union City, GA 30291 | 2012-01-25 |
1841575354 | Latoya Winston | Skilled Nursing Facility | 3253 Diamond Blf, Union City, GA 30291 | 2011-10-15 |
1760558407 | Thelma Teresa Spears | Dentist | 4731 Jonesboro Rd, 220, Union City, GA 30291 | 2006-11-27 |
1629168208 | Wal-mart Stores East, Lp | Technician/Technologist | 4375 Jonesboro Rd., Union City, GA 30291 | 2006-10-13 |
1780798314 | Va Hospital | Nursing Facility/Intermediate Care Facility | 7264 Madison Circle, Union City, GA 30291 | 2006-08-19 |
1841220944 | F & M Family Eyecare, LLC | Optometrist | 4375 Jonesboro Road, Union City, GA 30291 | 2006-07-04 |
1538367537 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 3940 Jonesboro Rd., Union City, GA 30291-0000 | 2007-07-11 |
1679819692 | To The Root of Things | Durable Medical Equipment & Medical Supplies | 6077 Bena Ct, Union City, GA 30291-1044 | 2012-12-19 |
Find all providers in zip 30291 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194270694 | Seneca Family of Agencies | Community/Behavioral Health | 100 Decoto Rd, Union City, CA 94587-3572 | 2016-08-25 |
1730548389 | Nuvia Pitty | Community/Behavioral Health | 34888 11th St Apt 534, Union City, CA 94587-8550 | 2016-02-10 |
1568705341 | Seneca Family of Agencies | Community/Behavioral Health | 33629 15th St, Union City, CA 94587-3322 | 2013-04-01 |
1972846673 | Seneca Family of Agencies | Community/Behavioral Health | 2801 Hop Ranch Rd Rm D3, Union City, CA 94587-5708 | 2013-04-01 |
1336421486 | Health Path Consulting Services LLC | Community/Behavioral Health | 204 18th St, Union City, NJ 07087-5438 | 2011-09-14 |
1801176003 | East Bay Agency for Children | Community/Behavioral Health | 1800 H St, Logan, Union City, CA 94587-3321 | 2011-08-19 |
1184953168 | Pabsunlimited Inc | Community/Behavioral Health | 567 Shannon Mall, Union City, GA 30291-2029 | 2009-12-21 |
1477889749 | Serenity Community Services | Community/Behavioral Health | 4405 Mall Boulevard, Suite 310, Union City, USA USA | 2009-10-21 |
1740322635 | Tinawane Family Services | Community/Behavioral Health | 5090 Alexander Ave, Union City, GA 30291-1140 | 2007-02-14 |
1003305483 | The Alliance for Community Wellness | Community/Behavioral Health | 1800 H St, Union City, CA 94587-3321 | 2018-05-01 |
Find all providers in UNION CITY |
City | UNION CITY |
Zip Code | 30291 |
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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.