BURST OF JOY PERSONAL CARE (NPI# 1790196772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790196772 |
Entity Type | Organization |
Organization Name | BURST OF JOY PERSONAL CARE |
Practice Address |
396 7th Ave Se Cairo GA 39828-3070 |
Mailing Address |
P.o. Box 144 Cairo GA 39828-3288 |
Practice Telephone | 2293970819 |
Mailing Telephone | 2293780693 |
Mailing Fax Number | 2293970819 |
Enumeration Date | 2014-05-13 |
Last Update Date | 2014-05-13 |
Authorized Official Name | VENTRISHA LINETT MOLLINS (OWNER) |
Authorized Official Telephone | 2293780693 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
065-01-023-1 | GA | Ambulatory Health Care Facilities |
Street Address |
396 7TH AVE SE |
City | CAIRO |
State | GA |
Zip Code | 39828-3070 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033621776 | Morgan Charlotte Jackson | Nurse Practitioner | 700 14th Ave Nw, Cairo, GA 39828 | 2017-11-03 |
1861750457 | Megan Baggett | Pharmacist | 496 Hwy 84 E, Cairo, GA 39828 | 2012-05-02 |
1477852176 | Laurance W Neubauer | Pharmacist | 496 Highway 84 East, Cairo, GA 39828 | 2011-03-21 |
1952622466 | Magictouchsouthernlivingllc | Home Health | 2039 Hwy 111 North, 2039, Cairo, GA 39828 | 2010-06-18 |
1306965330 | Winston Burnum Brock Jr. | Pharmacist | 496 Hwy 84 East, Rite Aid, Cairo, GA 39828 | 2007-03-29 |
1578605911 | Linda Inez Walden | Family Medicine | 91 Mlk Jr Ave Sw, Cairo, GA 39828 | 2007-02-13 |
1932252004 | Cairo Family Medical Center, PC | Family Medicine | 91 Mlk Jr Ave S.w., Cairo, GA 39828 | 2007-01-19 |
1144399163 | Hometown Homecare LLC | Durable Medical Equipment & Medical Supplies | 135 2nd Avenue Se, Cairo, GA 39828 | 2006-11-06 |
1366546582 | Arlie Dewey Phelps Jr. | Chiropractor | 26 3rd Ave Nw, Cairo, GA 39828 | 2006-09-08 |
1346279676 | Lonnie R Harrison | Dentist | 80 Alton Hall Rd, Cairo, GA 39828 | 2006-06-30 |
Find all providers in zip 39828 |
Taxonomy Code | 261QC1500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Community Health |
Definition to come... |
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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.