GERALDINE RUIZ (NPI# 1780071845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780071845 |
| Entity Type | Individual |
| Full Name | GERALDINE RUIZ |
| Practice Address |
259 Arrowhead Blvd C2 Jonesboro GA 30236-1167 |
| Practice Telephone | 6785456053 |
| Practice Fax Number | 6785456119 |
| Mailing Telephone | 6785456053 |
| Mailing Fax Number | 6785456119 |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2015-04-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598102790 | Geraldine Enriqueta Ruiz | Dentist | 10602 Chapman Ave, Suite 200, Garden Grove, CA 92840-3146 | 2013-05-29 |
| Street Address |
259 ARROWHEAD BLVD C2 |
| City | JONESBORO |
| State | GA |
| Zip Code | 30236-1167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770974461 | Faith Open Door Community Center, Inc. | Counselor | 259 Arrowhead Blvd, C2, Jonesboro, GA 30236-1167 | 2015-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123362 | Life Source Counseling & Consulting, LLC | Clinic/Center | 118 North Avenue, Suite A, Jonesboro, GA 30236 | 2020-04-25 |
| 1639609555 | New Beginnings Behavioral Counseling,llc | Social Worker | 9456 S Main St Ste E2, Jonesboro, GA 30236 | 2017-06-13 |
| 1437696762 | Clarissa Alexandra Poole | Counselor | 2106 Fair Ridge Ct, Jonesboro, GA 30236 | 2017-01-25 |
| 1588012892 | Sundance Healthcare Service Inc | In Home Supportive Care | 7861 Collinswood Court, Jonesboro, GA 30236 | 2016-05-26 |
| 1942669205 | Adrianne Smiley Gurley | Occupational Therapist | 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 | 2016-02-15 |
| 1336505809 | Integrated Health Center | Dentist | 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 | 2016-01-13 |
| 1467827402 | Surrell Porter | Nurse Practitioner | 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 | 2015-12-02 |
| 1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
| 1770991861 | Lower Extremity Diagnostics, LLC | Podiatrist | 6911 Tara Boulevard, Jonesboro, GA 30236 | 2014-08-01 |
| 1760899710 | Fresenius Medical Care Jonesboro, LLC | Clinic/Center | 8060 Summitt Business Parkway, Jonesboro, GA 30236 | 2014-07-22 |
| Find all providers in zip 30236 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619523925 | Tarr Personal Care Home LLC. | Community/Behavioral Health | 1180 Mundys Mill Rd, Jonesboro, GA 30238-6038 | 2019-08-13 |
| 1548741713 | Chance of Change, Inc | Community/Behavioral Health | 1489 Mundys Mill Rd Ste 200, Jonesboro, GA 30238-6026 | 2018-08-27 |
| 1255874566 | Andrew J. Nelson, LLC | Community/Behavioral Health | 741 Barnesdale Dr, Jonesboro, GA 30236-1801 | 2016-11-18 |
| 1528513538 | Building A Strong Foundation Consultant Service LLC | Community/Behavioral Health | 7301 Howard Cir, Jonesboro, GA 30236-1940 | 2016-08-19 |
| 1184045163 | Diane Johnson | Community/Behavioral Health | 1141 Gable Terrace, Jonesboro, GA 30236 | 2013-12-18 |
| 1659712180 | Business Management Consulting,llc | Community/Behavioral Health | 2469 Mead Ct, Jonesboro, GA 30236-9209 | 2013-07-12 |
| 1568806412 | Sherman Support and Solutions, LLC | Community/Behavioral Health | 259 Arrowhead Blvd Ste C1, Jonesboro, GA 30236-1167 | 2013-04-23 |
| 1023371416 | Youth Generation Inc | Community/Behavioral Health | 525 Sunnyhill Dr, Jonesboro, GA 30238-4862 | 2012-06-20 |
| 1851651426 | Tlc Family Life Center, LLC | Community/Behavioral Health | 145b N Main St, Jonesboro, GA 30236-3568 | 2012-05-16 |
| 1780957167 | Nu Beginnings | Community/Behavioral Health | 754 Chapman St, Jonesboro, GA 30238-5682 | 2012-02-16 |
| Find all providers in JONESBORO | ||||
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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.