BUTLER-BOWDEN PERSONAL CARE HOME, INC (NPI# 1740404037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740404037 |
Entity Type | Organization |
Organization Name | BUTLER-BOWDEN PERSONAL CARE HOME, INC |
Practice Address |
694 Leighton Way Stone Mountain GA 30088-1829 |
Practice Telephone | 7704986381 |
Practice Fax Number | 7704139447 |
Mailing Telephone | 7704986381 |
Mailing Fax Number | 7704139447 |
Enumeration Date | 2007-04-11 |
Last Update Date | 2010-06-07 |
Authorized Official Name | MRS. MARGARET J. BOWDEN (DIRECTOR) |
Authorized Official Telephone | 7704986381 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 044-01-294-2 | GA | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 000917056B | 05 | |
GA | 000917056A | 05 |
Street Address |
694 LEIGHTON WAY |
City | STONE MOUNTAIN |
State | GA |
Zip Code | 30088-1829 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518565902 | Edward Edeh | Pharmacist | 1232 South Hairstoh Road, Stone Mountain, GA 30088 | 2020-10-16 |
1588124879 | Birds of Paradise Physical Therapy Services,llc | Physical Therapy Assistant | 754 Post Road Ln, Address Line 2, Stone Mountain, GA 30088 | 2019-03-22 |
1710467923 | Stephanie Patrice Mccray | In Home Supportive Care | 1058 Millard Road, Stone Mountain, GA 30088 | 2018-08-16 |
1912365321 | Audrey Perry | Respiratory Therapist, Certified | 1588 Linkview Close, Stone Mountain, GA 30088 | 2016-02-01 |
1689041428 | Reaching Above Poverty | Counselor | 5401 Megan Rd, Stone Mountain, GA 30088 | 2015-08-27 |
1043692254 | Bethany Johnson | Home Health Aide | 981 Deer Chase Court, Stone Mountain, GA 30088 | 2015-06-24 |
1073859666 | Whitney's Place Inc. | Custodial Care Facility | 5451 Rockbeidge Road, Stone Mountain, GA 30088 | 2012-12-31 |
1831468818 | The Art of Living Cla LLC. | Community/Behavioral Health | 1668 South Hairston Rd, Stone Mountain, GA 30088 | 2011-12-21 |
1659670792 | Atarah Ranit Kimmons | Occupational Therapist | 2045 County Down Lane, Stone Moutain, GA 30088 | 2011-03-15 |
1104060219 | William Tyrell Reid Jr. | Dentist | 1183 South Hairstron Rd., Suite D, Stone Mountain, GA 30088 | 2009-04-21 |
Find all providers in zip 30088 |
Taxonomy Code | 315P00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Intermediate Care Facility, Mentally Retarded |
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225358856 | 'a' Helping Hand, Inc. | Intermediate Care Facility, Mentally Retarded | 439 Watson Bay, Stone Mountain, GA 30087-6195 | 2010-06-05 |
1427378058 | Precious Living Incorporated | Intermediate Care Facility, Mentally Retarded | 448 Registry Blf, Stone Mountain, GA 30087-6602 | 2010-06-05 |
1275863383 | Bryana Personal Care Home | Intermediate Care Facility, Mentally Retarded | 6276 Field Glen Rd, Stone Mountain, GA 30087-4911 | 2010-01-12 |
1205205473 | Andrea Streeter | Intermediate Care Facility, Mentally Retarded | 439 Watson Bay, Stone Mountain, GA 30087-6195 | 2015-09-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326586744 | Hand-n-hand PCh Inc. | Intermediate Care Facility, Mentally Retarded | 125 Janette Ln, Moultrie, GA 31788-7837 | 2017-02-06 |
1902232598 | Enable of Georgia, Inc. | Intermediate Care Facility, Mentally Retarded | 1200 Old Ellis Rd, Roswell, GA 30076-3850 | 2013-09-16 |
1326392432 | Extending Community Services Foundation | Intermediate Care Facility, Mentally Retarded | 3630 Emerald Pt, Decatur, GA 30034-5739 | 2012-10-29 |
1639441421 | Smith Personal Care Home 1and 2 Inc | Intermediate Care Facility, Mentally Retarded | 309 Advance St, Swainsboro, GA 30401-3675 | 2012-02-08 |
1609146109 | Rainbow Ridge#2,inc. | Intermediate Care Facility, Mentally Retarded | 181 Rainbow Rdg, Swainsboro, GA 30401-4413 | 2011-12-31 |
1427336346 | Tranquility PCh, LLC | Intermediate Care Facility, Mentally Retarded | 3440 Rainbow Dr, Decatur, GA 30034-1807 | 2011-07-26 |
1720318843 | Allgood Manor Assistant Home Inc. | Intermediate Care Facility, Mentally Retarded | 6358 Deshong Dr, Lithonia, GA 30058-6123 | 2010-01-12 |
1053540260 | Nue Beginnings Residence Home Inc | Intermediate Care Facility, Mentally Retarded | 5183 Suggs St, Powder Springs, GA 30127-3029 | 2009-07-09 |
1033236088 | Nicekare Inc | Intermediate Care Facility, Mentally Retarded | 1210b E De Renne Ave, Savannah, GA 31406-2016 | 2007-03-23 |
1215072038 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 6715 Highway 41, Ringgold, GA 30736-2643 | 2007-02-20 |
Find all providers with the same taxonomy |
City | STONE MOUNTAIN |
Zip Code | 30088 |
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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.