PHENOMENAL NURSING SERVICE (NPI# 1679050454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679050454 |
| Entity Type | Organization |
| Organization Name | PHENOMENAL NURSING SERVICE |
| Practice Address |
604 South St. 604 South St Savannah GA 31405 |
| Mailing Address |
604 South St. Savannah GA 31405 |
| Practice Telephone | 9124365110 |
| Practice Fax Number | 9122340493 |
| Mailing Telephone | 9124365110 |
| Mailing Fax Number | 9122340493 |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2018-07-24 |
| Authorized Official Name | MRS. JERALDINE GENEVA LOVE (OWNER) |
| Authorized Official Telephone | 9124365110 |
| Authorized Official Credential | CERTIFIED NURSIN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
CN0012346961 | GA | Nursing Service Providers |
| Street Address |
604 SOUTH ST. 604 SOUTH ST |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918441 | Nicole Marie Tetro | Anesthesiology | Candler Hospital, 5353 Reynolds St, Savannah, GA 31405 | 2020-10-08 |
| 1154983880 | Nickes Medical Supply, LLC. | Durable Medical Equipment & Medical Supplies | 6020 Halsey St, Savannah, GA 31405 | 2019-07-02 |
| 1215593025 | Lee Ann Ryle | Nurse Practitioner | 5223 Paulsen St., Savannah, GA 31405 | 2019-05-16 |
| 1942765334 | Raegan Epps | Behavior Technician | 613 Stephenson Ave Ste 205, Savannah, GA 31405 | 2019-02-10 |
| 1275029472 | Chelsea Amanda Keedy | Pharmacist | 836 E. 65th St., Medical Arts #4, Savannah, GA 31405 | 2018-07-11 |
| 1265933840 | Dwc-p LLC | Dentist | 5209 Paulsen Street, Savannah, GA 31405 | 2018-02-28 |
| 1386153005 | Aaron Shaw | Hearing Instrument Specialist | 5501 Abercorn St Ste E, Savannah, GA 31405 | 2017-09-26 |
| 1063946028 | Elizabeth Bentley Bruhn-danello | Dietitian, Registered | 836 East 65th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-17 |
| 1396278230 | Theresa Lynn George | Health Educator | 836 East 65 Th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-07 |
| 1790235844 | Accucare Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 1000 Business Center Dr Ste 30, Savannah, GA 31405 | 2016-10-12 |
| Find all providers in zip 31405 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205761 | Wee-care Georgia - Home Health-care | Registered Nurse | 3235 Satellite Blvd Ste 300, Duluth, GA 30096-8688 | 2020-11-06 |
| 1598372732 | Debbie Denise Lynch-berry | Registered Nurse | 475 Lory Ln, Grovetown, GA 30813-6104 | 2020-09-30 |
| 1922613611 | Chinyere Gloria Akpan | Registered Nurse | 147 Eagle Rock Dr, Acworth, GA 30101-1916 | 2020-09-10 |
| 1942812409 | Tehanya Michelle Peagler | Registered Nurse | 62 Saint Johns Rd, Hinesville, GA 31313-5837 | 2020-08-17 |
| 1215553649 | Kerry-ann Nicole Campbell | Registered Nurse | 1546 Riverview Rd, Monroe, GA 30655-4011 | 2020-06-22 |
| 1992327597 | Bridget Ronke Emeli-ba | Registered Nurse | 3334 Stone Mountain Hwy, Snellville, GA 30078-6840 | 2020-05-18 |
| 1407484322 | Domonque Louise Jakes | Registered Nurse | 4521 Saddle Bend Trl, Snellville, GA 30039-5984 | 2020-03-27 |
| 1740817717 | Ebenezer Ashitei | Registered Nurse | 3210 Christiana Cir Nw, Kennesaw, GA 30152-6985 | 2020-03-26 |
| 1285260778 | Global Wellness and Recovery LLC | Registered Nurse | 100 Blanket Pass, Covington, GA 30016-2319 | 2020-03-17 |
| 1336774256 | Qudus Olajire Ibiyemi | Registered Nurse | 4140 Woodcrest Ln, Powder Springs, GA 30127-2529 | 2020-03-11 |
| 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.