PUGH'S PERSONAL CARE HOME (NPI# 1780122010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780122010 |
| Entity Type | Organization |
| Organization Name | PUGH'S PERSONAL CARE HOME |
| Practice Address |
5834 St Matthews St John Church Rd Donalsonville GA 39845-3550 |
| Mailing Address |
5834 St Matthew St John Church Rd Donalsonville GA 39845 |
| Practice Telephone | 2295241015 |
| Practice Fax Number | 2295241120 |
| Mailing Telephone | 2295241015 |
| Mailing Fax Number | 2295241120 |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |
| Authorized Official Name | MRS. BETTY F PUGH (ADMINISTRATOR) |
| Authorized Official Telephone | 2292540546 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | PCH008762 | GA | Residential Treatment Facilities |
| Street Address |
5834 ST MATTHEWS ST JOHN CHURCH RD |
| City | DONALSONVILLE |
| State | GA |
| Zip Code | 39845-3550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662634 | V E Health Services LLC | In Home Supportive Care | 3164 Town and Country Road, Donalsonville, GA 39845 | 2020-09-04 |
| 1225670995 | Allcare Pharmacy, LLC | Pharmacy | 1004 S Tennille Ave, Donalsonville, GA 39845 | 2019-10-14 |
| 1528377595 | Billy C. Williams | Pharmacist | 409 West 3rd St, Donalsonville, GA 39845 | 2010-09-24 |
| 1881867000 | Southwest Georgia Healthcare Clinics Inc | Pediatrics | 205 Bresee Street, Donalsonville, GA 39845 | 2008-04-09 |
| 1790851335 | Sherry R Hawkins | Dentist | 1005 South Tennille Ave, Donalsonville, GA 39845 | 2006-11-27 |
| 1124104096 | Jamaca Rashad Coachman | Physical Therapist | 2955 Paleface Drive, Donalsonville, GA 39845 | 2006-10-31 |
| 1225133093 | Tri-state Home Medical | Durable Medical Equipment & Medical Supplies | 801 N Wiley Ave, Donalsonville, GA 39845 | 2006-09-14 |
| 1154424596 | Richard Mark Wolff | Pediatrics | 205 Bresee St, Donalsonville, GA 39845 | 2006-09-07 |
| 1578527123 | Vincent Kelley | Nurse Anesthetist, Certified Registered | 102 Hospital Circle, Donalsonville, GA 39845 | 2006-04-12 |
| 1245299387 | Murdoc Michael Henderson | Obstetrics & Gynecology | 900 N Wiley Ave, Donalsonville, GA 39845 | 2006-03-18 |
| Find all providers in zip 39845 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619403805 | Quencie's Manor LLC | Residential Treatment Facility, Physical Disabilities | 2104 Jeffersonville Rd, Macon, GA 31217-4517 | 2017-05-07 |
| 1114452620 | Training On The Move | Residential Treatment Facility, Physical Disabilities | 619 Hampton St, Hinesville, GA 31313-3535 | 2017-04-23 |
| 1730621756 | Innovative Solutions Personal Care Home | Residential Treatment Facility, Physical Disabilities | 569 Phyllis Cir, Camilla, GA 31730-6438 | 2016-11-08 |
| 1285029884 | Hhsrc Neuromuscular | Residential Treatment Facility, Physical Disabilities | 5474 Oakley Industrial Blvd, Apt. 1032, Fairburn, GA 30213-4455 | 2015-03-31 |
| 1255723813 | Cotter Personal Care Home LLC | Residential Treatment Facility, Physical Disabilities | 5146 Cotter Dr, Union City, GA 30291-1812 | 2015-02-19 |
| 1770996001 | Reaves Home Care Services | Residential Treatment Facility, Physical Disabilities | 2502 Trees of Kennesaw Pkwy Nw, Kennesaw, GA 30152-8220 | 2014-06-04 |
| 1225453079 | Delroy Thomas | Residential Treatment Facility, Physical Disabilities | 8099 Revere Dr, Mcdonough, GA 30252-8924 | 2014-03-03 |
| 1134564131 | Panola Care, Cla | Residential Treatment Facility, Physical Disabilities | 3169 Pequea Dr, Lithonia, GA 30038-1119 | 2013-05-03 |
| 1235490095 | Apfa | Residential Treatment Facility, Physical Disabilities | 4776 Ben Hill Rd, Douglasville, GA 30134-4213 | 2012-06-07 |
| 1326307059 | Travelers Care Nursing Agency | Residential Treatment Facility, Physical Disabilities | 2802 Tree Summit Pkwy, Duluth, GA 30096-7932 | 2012-05-15 |
| Find all providers with the same taxonomy | ||||
| City | DONALSONVILLE |
| Zip Code | 39845 |
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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.