DADE COMMUNITY LIVING ARRANGEMENT (CLA) (NPI# 1780953018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780953018 |
| Entity Type | Organization |
| Organization Name | DADE COMMUNITY LIVING ARRANGEMENT (CLA) |
| Other Organization Name | DADE PERSONAL CARE HOME (PCH) |
| Practice Address |
1289 Macedonia Church Rd. Oxford GA 30054-3651 |
| Practice Telephone | 6786603339 |
| Practice Fax Number | 7706795670 |
| Mailing Telephone | 6786603339 |
| Mailing Fax Number | 7706795670 |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2011-12-15 |
| Authorized Official Name | MRS. DIAN EVADNE WALTERS-MOTT (OWNER/DIRECTOR) |
| Authorized Official Telephone | 6787685997 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 376G00000X | Nursing Home Administrator | 10701-081-1 | GA | Nursing Service Related Providers |
| N | 376K00000X | Nurse's Aide | CN0028872680 | GA | Nursing Service Related Providers |
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | GA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Dade Personal Care Home (PCH) | Former Legal Business Name - Organization |
| Street Address |
1289 MACEDONIA CHURCH RD. |
| City | OXFORD |
| State | GA |
| Zip Code | 30054-3651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376822858 | Sharlene Smith | Home Health Aide | 50 Blue Grass Way, Oxford, GA 30054 | 2011-08-15 |
| 1942503578 | Catherine Papachristou | Social Worker | 104 Moore St, Oxford, GA 30054 | 2010-12-21 |
| 1104948405 | Sally Bishop Brooks | Physician Assistant | 1000 Medical Center Blvd, Lawerenceville, GA 30054 | 2007-04-06 |
| 1912351081 | Kristin L Garner Joseph | Physician Assistant | 907 Emory St Unit 55, Oxford, GA 30054-1605 | 2016-04-14 |
| 1700354859 | View Point Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 160 Longstreet Cir, Oxford, GA 30054-2244 | 2018-11-07 |
| 1568584886 | Mary Kathleen Jones Bachtel | Nurse Practitioner | 100 Hamill St, Oxford College Shs, Oxford, GA 30054-2291 | 2007-04-06 |
| 1861619033 | Sherie D Myers | Nurse Practitioner | 100 Hamill St, Oxford College Student Health Service, Oxford, GA 30054-2291 | 2007-04-19 |
| 1649603200 | Letitia Kelly | Registered Nurse | 214 Hightower Trl, Oxford, GA 30054-2601 | 2013-08-17 |
| 1619324159 | Caring Hands Healthcare Services Inc | Home Health | 214 Hightower Trl, Oxford, GA 30054-2601 | 2016-05-14 |
| 1316108921 | George Carl Lambros Jr. | Orthopaedic Surgery | 1830 Mount Zion Rd, Oxford, GA 30054-2623 | 2008-06-17 |
| Find all providers in zip 30054 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972021103 | The Arc, Warren County Chapter | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 34 Bush St, Oxford, NJ 07863-3002 | 2017-09-08 |
| 1962920942 | The Arc, Warren County Chapter | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 356 Jonestown Rd, Oxford, NJ 07863-3137 | 2017-08-30 |
| 1770963936 | National Mentor Healthcare, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 672 Jackson Valley Rd, Oxford, NJ 07863-3314 | 2015-06-03 |
| 1245576644 | View Point Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 Edge Dr, Oxford, GA 30054-4347 | 2012-12-13 |
| 1457554594 | Granville County Group Homes, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5509 Dorsey Rd, Oxford, NC 27565-8309 | 2007-06-07 |
| 1629597190 | The Arc, Warren County Chapter | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 34 Bush St, Oxford, NJ 07863-3002 | 2017-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385862 | Hickory Log Vocational School Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3680 Highway 411 Ne, White, GA 30184-2427 | 2020-10-28 |
| 1801403050 | Safe Haven Personal Care Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10875 Abercorn St Apt 132, Savannah, GA 31419-1843 | 2020-09-30 |
| 1659987931 | Pinkies Place | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 216 Self St, Warner Robins, GA 31088-5506 | 2020-09-22 |
| 1629680293 | Caregiver Ga, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3736 Executive Center Dr Ste B, Augusta, GA 30907-2360 | 2020-08-17 |
| 1730799073 | Victory Won Counseling and Res Care Prof. Corp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5014 Snapfinger Woods Dr, Decatur, GA 30035-4003 | 2020-08-02 |
| 1811528649 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 211 North Street, Douglas, GA 31533 | 2020-01-30 |
| 1619519709 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 516 Freedom Trl, Brunswick, GA 31525-4712 | 2019-10-10 |
| 1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
| 1467013821 | Csb of East Central Ga | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5101 Parnell Way, Martinez, GA 30907-8896 | 2019-06-26 |
| 1013474915 | Community Service Board of East Central Georgia | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1715 Lawerence Rd, Hephzibah, GA 30815-4445 | 2019-02-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DADE COMMUNITY LIVING ARRANGEMENT (CLA).
| 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.