JACER CORPORATION (NPI# 1740376482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740376482 |
| Entity Type | Organization |
| Organization Name | JACER CORPORATION |
| Practice Address |
1061 Harmon Ave Ste 1d03 Ft Stewart GA 31314-5611 |
| Mailing Address |
309 Kuwe Trail Hinesville GA 31313 |
| Practice Telephone | 9124356633 |
| Mailing Telephone | 9123686252 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. BRENDA SOHAN (ASSOCIATE/REPRESENTATIVE) |
| Authorized Official Telephone | 7039318702 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | RN166963 | GA | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporation Entity | JACER CORPORATION | 90 STATE ST. STE. 700 OFFICE 40, ALBANY, NEW YORK 12207 |
| Virginia Business Entity | JACER CORPORATION | 11094-D LEE HIGHWAY UNIT 103 , FAIRFAX, VA 22030 |
| Street Address |
1061 HARMON AVE STE 1D03 |
| City | FT STEWART |
| State | GA |
| Zip Code | 31314-5611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154723054 | George Hansen | Registered Nurse | 1061 Harmon Ave, Ft Stewart, GA 31314 | 2014-09-23 |
| 1427458116 | Travis Mcconkey | Emergency Medical Technician, Basic | 1061 Harmon Ave, Winn Army Community Hospital, Ft Stewart, GA 31314-3710 | 2014-08-29 |
| 1477840817 | Valarie Camak-isaac | Registered Nurse | 1061 Harmon Ave, Suite1d03, Ft Stewart, GA 31314-5674 | 2011-07-06 |
| 1700178340 | Sherrie Singh-bryan | Pharmacist | 1061 Harmon Ave, Ste 1d03, Ft Stewart, GA 31314-5674 | 2011-05-13 |
| 1013206499 | Arthur Nixon | Social Worker | 1061 Harmon Ave, Suite 1d03, Ft Stewart, GA 31314-5674 | 2011-04-06 |
| 1023316536 | Rodney Menezes | Physician Assistant | 1061 Harmon Ave, Suite 1d03, Ft Stewart, GA 31314-5674 | 2011-03-08 |
| 1962733485 | Rachael Marie Drayton | Nurse Anesthetist, Certified Registered | 1061 Harmon Ave, Ft Stewart, GA 31314-5674 | 2010-01-22 |
| 1356548234 | Karyl Lee Jennings | Social Worker | 1061 Harmon Ave, Usa Meddac, Ft Stewart, GA 31314-5641 | 2007-07-02 |
| 1679789895 | Melinda Baggs | Registered Nurse | 1061 Harmon Ave, Ste 1d03, Ft Stewart, GA 31314-5674 | 2007-05-15 |
| 1528104817 | Clive Norris Stephenson | Physician Assistant | 1061 Harmon Ave, Ste 1do3, Ft Stewart, GA 31314-5674 | 2007-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733995 | Heather Ziccarelli Deneen | Dietitian, Registered | 441 Bultman Ave, 1183, Fort Stewart, GA 31314 | 2020-02-28 |
| 1073099826 | Ross Emerick | Dentist | 351 West 6th Street, Fort Stewart, GA 31314 | 2018-07-16 |
| 1184154742 | Roland Garcia | Dentist | 351 W 6th St Bldg 440, Ft Stewart, GA 31314 | 2017-06-15 |
| 1548613045 | Sylvia Mclean | Dental Hygienist | 343 Vanguard Road, Fort Stewart, GA 31314 | 2016-07-20 |
| 1407209257 | David Wald Jr. | Dental Hygienist | 305 Vanguard Rd. Bldg 8335, Fort Stewar, GA 31314 | 2016-07-18 |
| 1376995415 | Alisha Potter | Dental Assistant | 305 Vangurard Road, Ft Stewart, GA 31314 | 2016-07-12 |
| 1538511068 | Brandi Harris | Dental Assistant | 305 Vanguard Rd, Ft Stewart, GA 31314 | 2016-07-08 |
| 1548612088 | Adrian Cuthbert | Dental Assistant | 305 Vanguard Road, Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1841642386 | Beverly Lynn Berry | Dental Assistant | 306 Vanguard Road Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1740630060 | Anjanette Nicole' Brown | Dental Assistant | 706 Warriors Rd, Building 2115, Fort Stewart, GA 31314 | 2016-06-17 |
| Find all providers in zip 31314 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800115 | Recarlo King | Nursing Care | 1863 Clay Rd Sw, Mableton, GA 30126-1100 | 2020-10-27 |
| 1205435575 | Angelic Touch Cares, LLC | Nursing Care | 1705 Bertram Ln Sw, Marietta, GA 30008-4141 | 2020-10-19 |
| 1730787136 | Lucienne Home Care LLC | Nursing Care | 2407 Hi Roc Rd Ne, Conyers, GA 30012-2541 | 2020-10-16 |
| 1609482793 | Express Yourself, LLC | Nursing Care | 5141 Wellsley Bnd, Alpharetta, GA 30005-5067 | 2020-09-23 |
| 1952917106 | Chosen Healthcare Services, LLC | Nursing Care | 818 Panola Rd, Ellenwood, GA 30294-3034 | 2020-09-22 |
| 1578179313 | Standard Homecare of Augusta,llc | Nursing Care | 4583 Coldwater St, Grovetown, GA 30813-4065 | 2020-09-17 |
| 1033724638 | Jennifer Melton | Nursing Care | 1888 Hollywood Rd Nw Unit 7401, Atlanta, GA 30318-3206 | 2020-09-10 |
| 1710591425 | Sharon Mckenzie | Nursing Care | 2203 Cumberland Pkwy Se Unit 401, Atlanta, GA 30339-4513 | 2020-09-01 |
| 1831703636 | Uniqueangleshomecareservices | Nursing Care | 257 Maner Ter Se, Atlanta, GA 30339-1930 | 2020-08-31 |
| 1235741489 | Saegcyhealthcare | Nursing Care | 1301 Westwood Dr Apt G, Albany, GA 31721-6237 | 2020-08-19 |
| Find all providers with the same taxonomy | ||||
| City | FT STEWART |
| Zip Code | 31314 |
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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.