SKILLED NURSING FACILITY GRHA (NPI# 1659409951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659409951 |
| Entity Type | Organization |
| Organization Name | SKILLED NURSING FACILITY GRHA |
| Practice Address |
3073 Panthersville Road Decatur GA 30034-3828 |
| Mailing Address |
P.o. Box 370407 Patient Accounts Decatur GA 30034-3828 |
| Practice Telephone | 7702125454 |
| Practice Fax Number | 4042432159 |
| Mailing Telephone | 4042125454 |
| Mailing Fax Number | 4042432159 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOHN MARK ROWLES (CLINCIAL DIRECTOR) |
| Authorized Official Telephone | 4042432114 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1-044-323 | GA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00141061A | 05 |
| Street Address |
3073 PANTHERSVILLE ROAD |
| City | DECATUR |
| State | GA |
| Zip Code | 30034-3828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922056902 | Delquis Rafael Mendoza | Psychiatry & Neurology | 3073 Panthersville Road, Patients Accounts Office, Decatur, GA 30034 | 2006-05-04 |
| 1497035380 | Dene Ruth Bellamy | Clinical Nurse Specialist | 3073 Panthersville Road, Decatur, GA 30034 | 2011-08-23 |
| 1821287046 | Katina M New | Nurse Practitioner | 3073 Panthersville Road, Medical Clinic, Decatur, GA 30034-3828 | 2007-10-24 |
| 1730378951 | Steven C Stout | Psychiatry & Neurology | 3073 Panthersville Road, Patient Accounts, Decatur, GA 30034-3828 | 2007-10-24 |
| 1942320031 | Verona D Lawson | Psychiatry & Neurology | 3073 Panthersville Road, Patient Accounts Office, Decatur, GA 30034-3828 | 2007-03-30 |
| 1881728749 | Georgia Regional Hospital Pharmacy | Pharmacy | 3073 Panthersville Road, Patient Accounts Office, Decatur, GA 30034-3828 | 2007-03-15 |
| 1841328135 | Icfmr At Georgia Regional Hospital Atlanta | Skilled Nursing Facility | 3073 Panthersville Road, Decatur, GA 30034-3828 | 2007-03-01 |
| 1659314847 | Donald W Smith | Psychologist | 3073 Panthersville Road, Decatur, GA 30034-3828 | 2006-06-14 |
| 1730122482 | Ga Department of Human Resources | Psychiatric Hospital | 3073 Panthersville Road, Decatur, GA 30034-3828 | 2006-06-13 |
| 1598713448 | Scott John Schoenherr | Psychologist | 3073 Panthersville Road, Patient Accounts Office, Decatur, GA 30034-3828 | 2006-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289803 | Kalesha Uneek Presswood | Behavior Technician | 5361 Roswell Rd, Atlanta, GA 30034 | 2020-09-14 |
| 1447876768 | Rosemary Maines | Recreation Therapist | The Maines Group LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1437775764 | The Maines Group, LLC | Adult Companion | The Maines Group, LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1801351994 | Anthony E. Parrish, D.d.s., PC | Dentist | 3653 Flakes Mill Road, Suite E, Deactur, GA 30034 | 2019-02-04 |
| 1164916813 | Lenina O Chi-ukpai | Nurse Practitioner | 2942 Secretariat Ct, Decatur, GA 30034 | 2018-06-17 |
| 1154662765 | Zackery Kanel Thomas | Driver | 2782 Green Marsh Court, Decatur, GA 30034 | 2013-03-06 |
| 1033472642 | Lakeba Hibbler Williams | Counselor | 4147 Flat Shoals Pkwy, Decatur, GA 30034 | 2012-06-19 |
| 1164789632 | Foot Solutions of Georgia | Durable Medical Equipment & Medical Supplies | 3011 S Rainbow Dr, Suite 160, Decatur, GA 30034 | 2012-04-20 |
| 1699096172 | Wanda P Garrett | Social Worker | 3013 Rainbow Drive, Suite 112-e, South Dekalb Office Park, Decatur, GA 30034 | 2010-06-18 |
| 1245558022 | Teresa Behrend Fletcher | Counselor | 3915 Brookside Pkwy, Decatur, GA 30034 | 2010-05-04 |
| Find all providers in zip 30034 | ||||
| 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 |
|---|---|---|---|---|
| 1396308508 | Decatur Operating Group LLC | Skilled Nursing Facility | 332 River Rd, Decatur, TN 37322-7800 | 2019-04-15 |
| 1083132641 | Decatur Healthcare, LLC | Skilled Nursing Facility | 322 River Road, Decatur, TN 38322 | 2017-09-05 |
| 1649722943 | City of Ennis | Skilled Nursing Facility | 701 W Bennett Road, Decatur, TX 76234-3817 | 2016-11-03 |
| 1134458920 | Pruitthealth - Decatur, LLC | Skilled Nursing Facility | 3200 Panthersville Road, Decatur, GA 30034-3831 | 2009-12-08 |
| 1346419397 | Senior Care Resources, Inc. | Skilled Nursing Facility | 701 Bennett Rd, Decatur, TX 76234-3817 | 2008-02-25 |
| 1356476154 | Adams County Memorial Hospital | Skilled Nursing Facility | 1300 Mercer Ave, Decatur, IN 46733-2407 | 2007-02-22 |
| 1417095266 | Lincoln Manor, Inc. | Skilled Nursing Facility | 2650 N Monroe St, Decatur, IL 62526-3251 | 2007-02-02 |
| 1083630487 | Fair Havens Christian Home, Inc. | Skilled Nursing Facility | 1790 S Fairview Ave, Decatur, IL 62521-4010 | 2006-07-15 |
| 1508818766 | Ggnsc Decatur II LLC | Skilled Nursing Facility | 4115 Glenwood Rd, Decatur, GA 30032-4727 | 2006-05-16 |
| 1669424057 | Ggnsc Decatur IIi LLC | Skilled Nursing Facility | 2787 N Decatur Rd, Decatur, GA 30033-5919 | 2006-05-16 |
| Find all providers in DECATUR | ||||
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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.