BELLVIEW1CLA (NPI# 1689923203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689923203 |
Entity Type | Organization |
Organization Name | BELLVIEW1CLA |
Other Organization Name | BELLVIEWPCH,LLC |
Practice Address |
1552 Fort Morris Rd Midway GA 31320-6213 |
Practice Telephone | 9128846899 |
Practice Fax Number | 9128846898 |
Mailing Telephone | 9128846899 |
Mailing Fax Number | 9128846898 |
Enumeration Date | 2012-08-29 |
Last Update Date | 2012-08-29 |
Authorized Official Name | MRS. OLIVIA GRAHAM FULLER (CEO) |
Authorized Official Telephone | 9128845474 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251C00000X | Day Training, Developmentally Disabled Services | CLA | GA | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 519076033B | 05 |
Other Name | Type Code |
---|---|
BellviewPCH,LLC | Doing Business As Name - Organization |
Street Address |
1552 FORT MORRIS RD |
City | MIDWAY |
State | GA |
Zip Code | 31320-6213 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407123557 | Woodlands Healthcare & Rehab LLC | Skilled Nursing Facility | 625 Coastal Highway 17 N, Midway, GA 31320 | 2011-11-17 |
1467638221 | Trinity Healthcare Recruiting Corp | Contractor | 242 Coastal Hwy Suite 100, Prime Care Medical Bldg, Midway, GA 31320 | 2008-01-11 |
1043437502 | Noel C. Luis-smith | Physical Therapist | Us Highway 17 North, Woodlands Health Care LLC, Midway, GA 31320 | 2007-04-19 |
1245392224 | Coastal Drug Company LLC | Pharmacy | 204 Butler St, Midway, GA 31320 | 2006-12-15 |
1285643320 | Betty Jane Long | Pharmacist | 204 Butler Ave, Midway, GA 31320 | 2006-08-07 |
1255302733 | Woodland Health Care LLC | Skilled Nursing Facility | 652 N Coastal Hwy 17, Midway, GA 31320 | 2006-01-31 |
1811986003 | Traiana Daciana Pacurar | Internal Medicine | 586 Islands Highway, Midway, GA 31320 | 2005-10-19 |
1003391459 | Liberty Orthopaedic Associates | Orthopaedic Surgery | 586 Islands Highway, Midway, GA 31320 | 2018-10-02 |
1093214041 | Hospital Authority of Liberty County | General Practice | 586 Islands Highway, Midway, GA 31320 | 2018-02-06 |
1124144068 | Coastal Discount Pharmacy | Durable Medical Equipment & Medical Supplies | 204 Butler St, Midway, GA 31320 | 2007-03-22 |
Find all providers in zip 31320 |
Taxonomy Code | 251C00000X |
Grouping | Agencies |
Classification | Day Training, Developmentally Disabled Services |
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609482397 | A Better Life Together, Inc | Day Training, Developmentally Disabled Services | 3343 Woodshade Drive, Loganville, GA 30052 | 2020-09-18 |
1225643653 | Auesome Achiever LLC | Day Training, Developmentally Disabled Services | 601 Alcovy St, Monroe, GA 30655-2145 | 2020-09-11 |
1457962797 | Southeastern Support Care Services LLC | Day Training, Developmentally Disabled Services | 3523 Fuller St, Columbus, GA 31907-2554 | 2020-08-11 |
1548870363 | Heart Helping Hands, LLC | Day Training, Developmentally Disabled Services | 1919 Singer Way, Lithonia, GA 30058-5578 | 2020-08-06 |
1073121646 | Jo Anne Ragsdale | Day Training, Developmentally Disabled Services | 4916 Lake Park Ln, Acworth, GA 30101-6253 | 2020-07-20 |
1447877683 | Jeremy's Place Inc. | Day Training, Developmentally Disabled Services | 4910 Jonesboro Rd Ste 201, Union City, GA 30291-2087 | 2020-07-04 |
1457970626 | The J&r Group Ga I Nc. | Day Training, Developmentally Disabled Services | 1910 Wood Valley Rd, Macon, GA 31211-1619 | 2020-04-08 |
1497307425 | Bobby Dodd Institute | Day Training, Developmentally Disabled Services | 2120 Marietta Blvd Nw, Atlanta, GA 30318-2122 | 2019-07-10 |
1619537453 | Cherryl Miller | Day Training, Developmentally Disabled Services | 1499 Ravenel Rd, Conley, GA 30288-2226 | 2019-06-14 |
1821555913 | Community Service Board of Middle Georgia | Day Training, Developmentally Disabled Services | 1444 Morgan Creek Dr, Eastman, GA 31023 | 2019-02-25 |
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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.