JESSIE'S PLACE


Address: 516 Macon Embro Rd, Macon, NC 27551-9287
Phone: 2522571814

JESSIE'S PLACE (NPI# 1699953497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699953497
Entity Type Organization
Organization Name JESSIE'S PLACE
Practice Address 516 Macon Embro Rd
Macon
NC 27551-9287
Practice Telephone 2522571814
Mailing Telephone 2522571814
Enumeration Date 2008-02-04
Last Update Date 2008-02-04
Authorized Official Name MR. CORNELIUS WILLIAMS (ADMINISTRATOR)
Authorized Official Telephone 2522571814
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities MHL-093-043 NC Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NC 3418181 05
NC 7805430 05

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities JESSIE'S PLACE 1410 S Lecanto Hwy, Lecanto, FL 34461-9015

Office Location

Street Address 516 MACON EMBRO RD
City MACON
State NC
Zip Code 27551-9287

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396184982 Smith Landing 2 Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 196 Theo Robertson Road, Macon, NC 27551 2013-06-18
1407295116 Cassie's Place Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 905 Oaksville Road, Macon, NC 27551 2013-06-17
1215129119 Smith's Landing Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1508 Theo Robertson Rd., Macon, NC 27551 2007-08-14
1184165987 Bridgette Boyd Adult Companion 106 Eaton Ferry Rd, Macon, NC 27551-9099 2017-03-13
1174092696 Unconditional Care Senior Services Adult Companion 106 Eaton Ferry Rd, Macon, NC 27551-9099 2018-11-14
1720136963 Guardian Angel Healthcare Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 474 Macon Embro Rd, Macon, NC 27551-9285 2007-01-06
1730366089 Willow Road Facility Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 474 Macon Embro Rd, Macon, NC 27551-9285 2008-01-29
1962536672 Boyd's Rest Home Custodial Care Facility 295 Carroll Town Rd, Macon, NC 27551-9292 2007-03-15
1376928846 Aha Moment, Inc. Home Health 295 Carroll Town Rd, Macon, NC 27551-9292 2015-07-27

Providers in the same city

NPI Name Taxonomy Address Enumeration
1376143941 Wanda Welch Spec/Tech, Health Info 2720 Sheraton Dr Ste 170, Macon, GA 31204-6806 2020-10-31
1093315848 Tracy Tarvers Nurse Practitioner 129 Wolf Creek Dr N, Macon, GA 31210-9002 2020-10-30
1346840451 Emily Lauren Brooks Registered Nurse 104 Ellis Way, Macon, GA 31216-6278 2020-10-28
1538768296 Ga Diagnostic Providers Clinic/Center 5400 Riverside Dr Ste 202, Macon, GA 31210-0818 2020-10-22
1134728447 Daniela Morgan Ragins Registered Nurse 4287 Vinson Ave, Macon, GA 31206-4055 2020-10-19
1659979086 Mvp Physio Dr. Clinic/Center 123 Umiya Nagar Cir, Macon, GA 31206-5401 2020-10-16
1225636392 Courtney Hampton Counselor 1800 Wesleyan Dr Apt 95, Macon, GA 31210-1075 2020-10-12
1578160560 Ida Mayaka Nurse Practitioner 210 Autumn Trace Ct, Macon, GA 31210-8025 2020-10-03
1821604158 Tekeria Gallemore Nurse Practitioner 204 Rockingham Pl, Macon, GA 31217-2615 2020-09-22
1801402714 Top Dog Solutions LLC Otolaryngology 4295 Interstate Dr Ste B, Macon, GA 31210-6815 2020-09-17
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Taxonomy Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396184982 Smith Landing 2 Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 196 Theo Robertson Road, Macon, NC 27551 2013-06-18
1407295116 Cassie's Place Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 905 Oaksville Road, Macon, NC 27551 2013-06-17
1215129119 Smith's Landing Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1508 Theo Robertson Rd., Macon, NC 27551 2007-08-14
1720136963 Guardian Angel Healthcare Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 474 Macon Embro Rd, Macon, NC 27551-9285 2007-01-06
1558732917 Healing Hands Personal Care Home LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 870 E St, Macon, GA 31206-8338 2015-10-12
1730366089 Willow Road Facility Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 474 Macon Embro Rd, Macon, NC 27551-9285 2008-01-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578160552 Residential Option Serving Adolescents, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2316 Carved Tree Ln, Charlotte, NC 28262-3154 2020-10-03
1649895442 Gaynelle Bolling Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 102 Mandarin Dr, Pikeville, NC 27863-0020 2020-06-08
1851913966 Johnson Enrichment Services LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 221 Foxcroft Dr, Winston Salem, NC 27103-5313 2020-05-12
1881230795 Walter Jason Young Jr. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 412 Rook Rd, Charlotte, NC 28216-3199 2019-11-26
1750935839 Heavenly Touch Residential Care Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4720 Baileys Lake Rd Nw Apt 204, Concord, NC 28027-8576 2019-07-28
1073166245 Making Kids Matter, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 409 Hunton Forest Dr Nw, Concord, NC 28027-0186 2019-07-17
1891357752 New Hope for Tomorrow LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 528 Baldwin Rd, Burlington, NC 27217-1702 2019-07-01
1114490877 Brenda Gail Cannon Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 3105 Vico Ter, Raleigh, NC 27610-5951 2019-01-05
1356813455 Lamesha Marshall Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 3335 Avalon Ave, Charlotte, NC 28208-3378 2018-12-31
1487131074 Ronald Anthony Benjamin Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1594 Candace Ridge Dr, Greensboro, NC 27406-8595 2018-07-26
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Competitor

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City MACON
Zip Code 27551

Improve Information

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Dataset Information

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.

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