COLUMBUS GA HOMECARE, LLC (NPI# 1770040099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770040099 |
| Entity Type | Organization |
| Organization Name | COLUMBUS GA HOMECARE, LLC |
| Practice Address |
1501 13th Street., Suite G Columbus GA 31901 |
| Practice Telephone | 7069143960 |
| Practice Fax Number | 7069143961 |
| Mailing Telephone | 7069143960 |
| Mailing Fax Number | 7069143961 |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2019-02-22 |
| Authorized Official Name | MATT JOHNSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7069143960 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | PRIVATE HOMECARE PROVIDER | PHCP010168 | 01 |
| Street Address |
1501 13TH STREET., SUITE G |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790396984 | Chisholm Trail Urgent Care Pllc | Emergency Medicine | 11 Tsys Way, Columbus, GA 31901 | 2020-08-12 |
| 1750868782 | Health Matters, Inc. | Clinic/Center | 1124 13th St, Columbus, GA 31901 | 2018-07-23 |
| 1447754197 | Charles Chacha Maroa Babere | Student in an Organized Health Care Education/Training Program | Columbus Regional Health, Midtown Medical Center, 1900 10th Avenue, Suit 100, Columbus, GA 31901 | 2018-03-19 |
| 1861912867 | Demetria Laprel Mcgruder | Community Health Worker | 1230 2nd Ave., Columbus, GA 31901 | 2017-06-21 |
| 1679932016 | Crystal Gayle Passmore | Counselor | 233 12th St Ste 334, Columbus, GA 31901 | 2016-02-13 |
| 1700256344 | Kendra Ward | Community Health Worker | 1230 2nd Avenue, Columbus, GA 31901 | 2015-09-25 |
| 1437556701 | Wendy Denise Thomas | Adult Companion | 1501 13th Street Suite F, Columbus, GA 31901 | 2014-12-02 |
| 1134523996 | Danielle Elaine Berry | General Practice | Tree of Life Healthcare, 1968 North Avenue, Columbus, GA 31901 | 2014-10-22 |
| 1710239330 | Kati Michelle Turner | Pharmacist | 1800 10th Avenue, Columbus, GA 31901 | 2012-10-05 |
| 1235450040 | Richelle Angela Gonzalez | Pediatrics | 2000 10th Ave., Suite 400, Columbus, GA 31901 | 2010-06-15 |
| Find all providers in zip 31901 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871190116 | Lawson Godfrey Jr. | In Home Supportive Care | 3136 Genevieve Dr, Columbus, OH 43219-3087 | 2020-10-08 |
| 1669089439 | Latoya Evette Moss | In Home Supportive Care | 3007 Rollingwood Dr, Columbus, OH 43219-3472 | 2020-09-25 |
| 1568078236 | Dungarvin Ohio, LLC | In Home Supportive Care | 294 E Campus View Blvd, Columbus, OH 43235-4634 | 2020-09-18 |
| 1073129078 | Kathy Lynn Green | In Home Supportive Care | 2261 Pinebrook Rd, Columbus, OH 43220-4327 | 2020-09-16 |
| 1942815287 | Independent Beginnings LLC | In Home Supportive Care | 122 Parsons Ave # 331, Columbus, OH 43215-4829 | 2020-09-14 |
| 1477168037 | Linda Sue Roose | In Home Supportive Care | 4775 Perlman St, Columbus, OH 43228-9076 | 2020-09-10 |
| 1376158956 | Prina Health Care LLC | In Home Supportive Care | 2700 E Dublin Granville Rd Ste 545, Columbus, OH 43231-4094 | 2020-09-10 |
| 1447864939 | Inspiring Care LLC | In Home Supportive Care | 1350 W 5th Ave Ste 124, Columbus, OH 43212-2907 | 2020-09-02 |
| 1417567819 | Charde Goggans | In Home Supportive Care | 1770 Nason Ave, Columbus, OH 43207-1678 | 2020-07-31 |
| 1497363832 | Eazycare Homecare LLC | In Home Supportive Care | 1340 Cascade Ct, Columbus, OH 43204-2109 | 2020-07-22 |
| Find all providers in COLUMBUS | ||||
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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.