FULLY CORPORATION (NPI# 1689095333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689095333 |
| Entity Type | Organization |
| Organization Name | FULLY CORPORATION |
| Other Organization Name | FAITHFULNESS ,UNDERSTANDING, LEARNING & LOVING YOUTH |
| Practice Address |
416 Johnson Rd Cairo GA 39828-8414 |
| Mailing Address |
Po Box 57 Calvary GA 39829-0057 |
| Practice Telephone | 2298723113 |
| Practice Fax Number | 2298723642 |
| Mailing Telephone | 2298723113 |
| Mailing Fax Number | 2298723642 |
| Enumeration Date | 2013-12-26 |
| Last Update Date | 2013-12-26 |
| Authorized Official Name | MRS. PETULA LORAINE GORDON (PROVIDER) |
| Authorized Official Telephone | 2293271982 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | Agencies |
| Other Name | Type Code |
|---|---|
| Faithfulness ,Understanding, Learning & Loving Youth | Former Legal Business Name - Organization |
| Street Address |
416 JOHNSON RD |
| City | CAIRO |
| State | GA |
| Zip Code | 39828-8414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033621776 | Morgan Charlotte Jackson | Nurse Practitioner | 700 14th Ave Nw, Cairo, GA 39828 | 2017-11-03 |
| 1861750457 | Megan Baggett | Pharmacist | 496 Hwy 84 E, Cairo, GA 39828 | 2012-05-02 |
| 1477852176 | Laurance W Neubauer | Pharmacist | 496 Highway 84 East, Cairo, GA 39828 | 2011-03-21 |
| 1952622466 | Magictouchsouthernlivingllc | Home Health | 2039 Hwy 111 North, 2039, Cairo, GA 39828 | 2010-06-18 |
| 1306965330 | Winston Burnum Brock Jr. | Pharmacist | 496 Hwy 84 East, Rite Aid, Cairo, GA 39828 | 2007-03-29 |
| 1578605911 | Linda Inez Walden | Family Medicine | 91 Mlk Jr Ave Sw, Cairo, GA 39828 | 2007-02-13 |
| 1932252004 | Cairo Family Medical Center, PC | Family Medicine | 91 Mlk Jr Ave S.w., Cairo, GA 39828 | 2007-01-19 |
| 1144399163 | Hometown Homecare LLC | Durable Medical Equipment & Medical Supplies | 135 2nd Avenue Se, Cairo, GA 39828 | 2006-11-06 |
| 1366546582 | Arlie Dewey Phelps Jr. | Chiropractor | 26 3rd Ave Nw, Cairo, GA 39828 | 2006-09-08 |
| 1346279676 | Lonnie R Harrison | Dentist | 80 Alton Hall Rd, Cairo, GA 39828 | 2006-06-30 |
| Find all providers in zip 39828 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962233 | Hopeful Homes, LLC. | Foster Care Agency | 200 Pleasant Home Rd, Augusta, GA 30907-3520 | 2020-11-08 |
| 1184222440 | Passionate People Personal Care LLC | Foster Care Agency | 6660 Mableton Pkwy Se Apt 405, Mableton, GA 30126-5399 | 2020-10-09 |
| 1285107482 | Greenbriar Children's Center Inc | Foster Care Agency | 3709 Hopkins St, Savannah, GA 31405-3028 | 2019-01-10 |
| 1467846261 | From Conception To Destiny, Inc. | Foster Care Agency | 2001 Martin Luther King Jr Dr Sw Ste 229, Atlanta, GA 30310-5809 | 2015-03-19 |
| 1386037521 | Emanuel Loving Arms Residential Child Care, Inc | Foster Care Agency | 243 Sabreena Cir, Hinesville, GA 31313-8204 | 2015-03-12 |
| 1487076733 | Demetrius Battle | Foster Care Agency | 840 Gateshead Ln, Lawrenceville, GA 30043-6668 | 2014-01-06 |
| 1992137293 | Unique Therapeutic Services | Foster Care Agency | 337 Bradley Woods Ct Nw Unit A, Lilburn, GA 30047-5931 | 2013-08-08 |
| 1316209083 | Elks Aidmore, Inc. | Foster Care Agency | 2394 Morrison Rd Sw, Conyers, GA 30094-3330 | 2012-06-08 |
| 1841514551 | Mommy N Me of Georgia Inc. | Foster Care Agency | 1376 Travers Creek Trl, Conyers, GA 30012-3585 | 2010-03-24 |
| 1023673761 | Fulton County Dfcs | Foster Care Agency | 1249 Donald Lee Hollowell Pkwy Nw, Atlanta, GA 30318-6657 | 2019-05-08 |
| 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.