MISTY SUE'S ADULT DAY HEALTH CENTER LLC (NPI# 1679087274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679087274 |
| Entity Type | Organization |
| Organization Name | MISTY SUE'S ADULT DAY HEALTH CENTER LLC |
| Practice Address |
517 Hill St Monroe GA 30656-1507 |
| Practice Telephone | 7702677995 |
| Mailing Telephone | 7702677995 |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |
| Authorized Official Name | NATASHA SHORT (OWNER/OPERATOR) |
| Authorized Official Telephone | 6789864042 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
ADC00203 | GA | Ambulatory Health Care Facilities |
| Street Address |
517 HILL ST |
| City | MONROE |
| State | GA |
| Zip Code | 30656-1507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285022186 | Frances Campbell | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2773 Oakmont Way, Monroe, GA 30656-2702 | 2014-12-30 |
| 1750536819 | Magnolia Blooms PCh,llc | Clinic/Center | 1250 Nicholsville Rd Nw, Monroe, GA 30656-3469 | 2008-11-17 |
| 1821492034 | Elizabeth Smith | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1227 Dale Dr, Monroe, GA 30656-3500 | 2014-10-17 |
| 1851868293 | Lusi Yang | Chiropractor | 2311 Shockley Rd Nw, Monroe, GA 30656-3677 | 2018-10-24 |
| 1578733291 | Guldmann Southeast | Durable Medical Equipment & Medical Supplies | 2040 Mount Vernon Rd Nw, Monroe, GA 30656-4360 | 2008-03-10 |
| 1295775955 | Susan Gerald Cook | Physical Therapist | 1045 Old Mill Trce, Monroe, GA 30656-4379 | 2006-06-08 |
| 1871732040 | Natalie H Grooms | Occupational Therapist | 1045 Old Mill Trce, Monroe, GA 30656-4379 | 2009-02-11 |
| 1881770949 | Mary Hinch | Physical Therapist | 1045 Old Mill Trce, Monroe, GA 30656-4379 | 2006-10-31 |
| 1326120932 | Activekidz and Adult Therapy Services | Physical Therapist | 1045 Old Mill Trce, Monroe, GA 30656-4379 | 2006-10-20 |
| 1730339656 | Sarah Perrie | Speech-Language Pathologist | 2117 Oakridge Ave, Monroe, GA 30656-4569 | 2008-09-28 |
| Find all providers in zip 30656 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730480369 | Caring Hearts Personal Home | Clinic/Center | 261 Mount Vernon Rd Nw, Monroe, GA 30655-5059 | 2010-11-12 |
| 1053611186 | From My Heart To Yours Ministries of Monroe | Clinic/Center | 3101 Jackson St, Monroe, LA 71202-5317 | 2010-10-22 |
| 1619190204 | St. Francis Medical Center, Inc | Clinic/Center | 101 South 4th Street, Monroe, LA 71201 | 2007-04-11 |
| 1154428373 | Supreme Intervention Center | Clinic/Center | 1114 Jackson St, Monroe, LA 71202-2024 | 2006-09-20 |
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|---|---|---|---|---|
| 1609481506 | Loving Hands Foundation Incorporated | Clinic/Center | 206 Union St, Lagrange, GA 30241-3343 | 2020-09-09 |
| 1356962443 | Southern Hospitality Adult Day Health Agency LLC | Clinic/Center | 3349 Northside Dr W, Statesboro, GA 30458-2178 | 2020-04-30 |
| 1497383038 | Sheryl Dornblaser | Clinic/Center | 1180 Mckendree Church Rd Ste 107, Lawrenceville, GA 30043-5207 | 2020-03-30 |
| 1720616386 | Rainbow Senior Care Home Inc | Clinic/Center | 4405 International Blvd Ste B101, Norcross, GA 30093-3013 | 2020-03-30 |
| 1932733201 | Perfect Care, Inc | Clinic/Center | 114 Sullivan Dr, Americus, GA 31709-5534 | 2020-02-26 |
| 1710524483 | Norman Graham | Clinic/Center | 125 Marquis Dr, Fayetteville, GA 30214-1566 | 2019-12-02 |
| 1548802937 | Serenity Adult Day Health, Inc | Clinic/Center | 95 Truman Rd, Hawkinsville, GA 31036-4643 | 2019-10-17 |
| 1134778749 | Marietta Seniors Club LLC | Clinic/Center | 748 Lawrence St Ne, Marietta, GA 30060-2144 | 2019-09-06 |
| 1629626445 | Wholecare Wellness LLC | Clinic/Center | 5390 Peachtree Industrial Blvd Ste 130, Norcross, GA 30071-1566 | 2019-08-27 |
| 1750936498 | Sec of Georgia Corp | Clinic/Center | 5522 New Peachtree Rd Ste 128, Atlanta, GA 30341-2544 | 2019-08-08 |
| 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.