CHERRY BLOSSOM HEALTH CARE CENTER LLC (NPI# 1740227164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740227164 |
| Entity Type | Organization |
| Organization Name | CHERRY BLOSSOM HEALTH CARE CENTER LLC |
| Other Organization Name | CHERRY BLOSSOM HEALTH AND REHABILITATION |
| Practice Address |
3520 Kenneth Dr Macon GA 31206-3824 |
| Practice Telephone | 4787817553 |
| Practice Fax Number | 4787810243 |
| Mailing Telephone | 4787817553 |
| Mailing Fax Number | 4787810243 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2009-02-06 |
| Authorized Official Name | SAMESSHIA ASKEW (ADMINISTRATOR) |
| Authorized Official Telephone | 4787817553 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1-011-1705 | GA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 51001934 001 | 01 | |
| GA | 00413509A | 05 |
| Other Name | Type Code |
|---|---|
| Cherry Blossom Health and Rehabilitation | Doing Business As Name - Organization |
| Street Address |
3520 KENNETH DR |
| City | MACON |
| State | GA |
| Zip Code | 31206-3824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992267892 | Andel Anthony Higgins | Family Medicine | 3780 Eisenhower Parkway, Macon, GA 31206 | 2019-04-01 |
| 1437651924 | Amanda Mckenzie | Clinic/Center | Us Renal Care 657 Hemlock Street, Macon, GA 31206 | 2018-03-01 |
| 1003337718 | Shantha Tyhessia Jones | Home Health | 2453 Shea Drive, Macon, GA 31206 | 2017-07-03 |
| 1043683527 | Autumn Anderson Lucas | Nurse Practitioner | 100 University Parkway, Macon, GA 31206 | 2015-11-05 |
| 1306273651 | Monique Whipple | Speech-Language Pathologist | 164 Summer Grove Lane, Macon, GA 31206 | 2013-10-02 |
| 1710956750 | Total Renal Care Inc | Clinic/Center | 2494 2nd St, Macon, GA 31206 | 2006-03-14 |
| 1396710828 | Ruth Macphie Hagemann | Counselor | 100 University Pkwy, Macon, GA 31206 | 2006-02-20 |
| 1609861129 | Rickey Harton Jr. | Optometrist | 3353 Mercer University Drive, Macon, GA 31206 | 2005-09-12 |
| 1104453711 | Lise Wendy Forestal | Student in an Organized Health Care Education/Training Program | 3780 Eisenhower Parkway, Macon, GA 31206 | 2020-03-24 |
| 1346702172 | Alayna Dukes | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206 | 2019-04-01 |
| Find all providers in zip 31206 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013321884 | Pruitthealth - Eastside, LLC | Skilled Nursing Facility | 2795 Finney Cir, Macon, GA 31217-4512 | 2014-06-19 |
| 1982963682 | Zebulon Park Health and Rehabilitation LLC | Skilled Nursing Facility | 343 Plantation Way, Macon, GA 31210 | 2012-05-15 |
| 1306060439 | Middle Georgia Life Care Inc. | Skilled Nursing Facility | 400 Foster Road, Macon, GA 31210 | 2007-04-12 |
| 1740341312 | Porter Field Health & Rehab Center LLC | Skilled Nursing Facility | 3051 Whiteside Rd, Macon, GA 31216-6209 | 2006-12-13 |
| 1649340167 | Goodwill Nursing Home, Inc | Skilled Nursing Facility | 4373 Houston Ave, Macon, GA 31206-2760 | 2006-11-09 |
| 1962437517 | Medical Management of Macon, Inc. | Skilled Nursing Facility | 29612 Kellogg Ave, Macon, MO 63552-3702 | 2006-07-12 |
| 1992741995 | Monroe County Nursing Home LLC | Skilled Nursing Facility | 529 Bolingreen Dr, Macon, GA 31210-5303 | 2006-06-20 |
| 1487699831 | Bibb County Health Care LLC | Skilled Nursing Facility | 3468 Napier Ave, Macon, GA 31204-3743 | 2006-06-19 |
| 1093762510 | Pruitthealth - Peake, LLC | Skilled Nursing Facility | 6190 Peake Rd, Macon, GA 31220-3956 | 2006-05-29 |
| 1710934237 | Pruitthealth - Macon, LLC | Skilled Nursing Facility | 2255 Anthony Rd, Macon, GA 31204-5823 | 2006-05-29 |
| Find all providers in MACON | ||||
Please comment or provide details below to improve the information on CHERRY BLOSSOM HEALTH CARE CENTER LLC.
| 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.