JIMMY'S MAGNOLIA TREE INC (NPI# 1699101147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699101147 |
| Entity Type | Organization |
| Organization Name | JIMMY'S MAGNOLIA TREE INC |
| Practice Address |
1526 Westwood Ave Sw Atlanta GA 30310-2316 |
| Practice Telephone | 4047489276 |
| Practice Fax Number | 4049417929 |
| Mailing Telephone | 4047489276 |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2013-09-16 |
| Authorized Official Name | MS. JAN N TROTTER (DIRECTOR) |
| Authorized Official Telephone | 4047489276 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | CLA001050 | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | COMP WAVIER | 972175212A | 01 |
| Street Address |
1526 WESTWOOD AVE SW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30310-2316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134775208 | Naesm Mens Health and Wellness Center | Clinic/Center | 2140 Martin Luther King Jr Dr Sw Ste 201, Atlanta, GA 30310 | 2019-08-14 |
| 1588219810 | Dayana Regis | Pediatrics | 808 York Ave Sw, Atlanta, GA 30310 | 2019-08-04 |
| 1629636683 | Manan Shah | Student in an Organized Health Care Education/Training Program | 720 Westview Dr, Sw Morehouse School of Medicine/gme, Atlanta, GA 30310 | 2019-06-04 |
| 1780242420 | Fortunate Amarachukwu Ejimone | Student in an Organized Health Care Education/Training Program | 720 Westview Dr. Sw Morehouse School of Medicine/gme, Atlanta, GA 30310 | 2019-05-29 |
| 1922589589 | Bria Campbell | Counselor | 1009 Windsor St Sw, Atlanta, GA 30310 | 2018-08-22 |
| 1821583584 | Onyedikachi Kenneth Michaels | Student in an Organized Health Care Education/Training Program | Morehouse School of Medicine / Gme, 720 Westview Dr, Sw, Atlanta, GA 30310 | 2018-06-26 |
| 1881185387 | Precious Oghenefejiro Odunvbun | Student in an Organized Health Care Education/Training Program | 720 West View Dr Sw Morehouse School of Medicine/gme, Department of Medicine, Atlanta, GA 30310 | 2018-05-21 |
| 1598253908 | Chinonyelum Doris Nwagbara | Student in an Organized Health Care Education/Training Program | Morehouse School of Medicine, Gme 720 Westview Drive Sw, Atlanta, GA 30310 | 2018-05-01 |
| 1679060552 | Danielle Nicole Oliver | Student in an Organized Health Care Education/Training Program | Morehouse School of Medicine/gme 720 Westview Dr Sw, Atlanta, GA 30310 | 2018-04-17 |
| 1376049072 | Ngozi Egondu Okanu | Student in an Organized Health Care Education/Training Program | Gme 720 Westview Dr, Sw, Atlanta, GA 30310 | 2018-04-02 |
| Find all providers in zip 30310 | ||||
| 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 |
|---|---|---|---|---|
| 1497307425 | Bobby Dodd Institute | Day Training, Developmentally Disabled Services | 2120 Marietta Blvd Nw, Atlanta, GA 30318-2122 | 2019-07-10 |
| 1659881266 | Adelaide Grant | Day Training, Developmentally Disabled Services | 2 Peachtree St Nw Fl 11, Atlanta, GA 30303-3142 | 2017-10-09 |
| 1265963003 | Spectrum Heights LLC. | Day Training, Developmentally Disabled Services | 436 Collier Rd Nw, Atlanta, GA 30309-1202 | 2017-03-23 |
| 1750619532 | Family Intervention & Community Advocay, LLC | Day Training, Developmentally Disabled Services | 260 Peachtree St Nw, Suite 2200, Atlanta, GA 30303-1202 | 2009-12-07 |
| 1649449281 | Inspiritus, Inc. | Day Training, Developmentally Disabled Services | 230 Peachtree Street Nw, Suite 1100, Atlanta, GA 30303 | 2008-02-28 |
| 1902934318 | Georgia Community Support & Solutions, Inc. | Day Training, Developmentally Disabled Services | 1945 Cliff Valley Way, Suite 220, Atlanta, GA 30329-2436 | 2007-02-28 |
| 1730255167 | Fulton County Mhddad | Day Training, Developmentally Disabled Services | 425 Langhorn St Sw, Atlanta, GA 30310-1627 | 2006-11-28 |
| 1649346677 | Fulton County Mhddad | Day Training, Developmentally Disabled Services | 2605 Fairburn Rd Sw, Atlanta, GA 30331-5903 | 2006-11-28 |
| 1497821466 | Fulton County Mhddad | Day Training, Developmentally Disabled Services | 5205 Roswell Road Ne, Atlanta, GA 30342-1913 | 2006-11-28 |
| 1669544342 | The Frazer Center | Day Training, Developmentally Disabled Services | 1815 S Ponce De Leon Ave Ne, Atlanta, GA 30307-1310 | 2006-11-15 |
| Find all providers in ATLANTA | ||||
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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.