CHANGE OF LIFE COMPANION HOMECARE LLC


Address: 401 Topaz Trail, Peachtree City, Fayetteville, GA 30269
Phone: 4043077223

CHANGE OF LIFE COMPANION HOMECARE LLC (NPI# 1790256931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790256931
Entity Type Organization
Organization Name CHANGE OF LIFE COMPANION HOMECARE LLC
Practice Address 401 Topaz Trail
Peachtree City
Fayetteville
GA 30269
Mailing Address P.o. Box 87242
College Park
GA 30337
Practice Telephone 4043077223
Mailing Telephone 4043077223
Enumeration Date 2018-12-16
Last Update Date 2018-12-16
Authorized Official Name MRS. NATASHA D YVETTE DUNN (ADMINISTRATOR DIRECTOR (OWNER))
Authorized Official Telephone 4043077223
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 367500000X Nurse Anesthetist, Certified Registered Physician Assistants & Advanced Practice Nursing Providers
Y 251E00000X Home Health Agencies

Office Location

Street Address 401 TOPAZ TRAIL
PEACHTREE CITY
City FAYETTEVILLE
State GA
Zip Code 30269

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750992772 Brian Voyles Pharmacist 130 Peachtree East Ct, Ste #4, Peachtree City, GA 30269 2020-08-13
1871133066 Imani Scott Physical Therapist 1280 Hwy 74 S Ste 210, Peachtree City, GA 30269 2020-01-15
1477191898 Sandra Jo Aletraris Counselor 105 Camp Creek Trail, Peachtree City, GA 30269 2019-12-16
1295372696 Jovon Erika Caldwell Taylor Nurse Practitioner 125 Governors Square, Suite B, Peachtree City, GA 30269 2019-12-04
1376191106 Ryan Goldfine Dpm LLC Podiatrist 3451 Ernest W Barrett Pkwy Suite 170, Mariettta, GA 30269 2019-08-26
1740834092 Shenitta Guyton Psychologist 619 Grecken Grn, Peachtree City, GA 30269 2019-07-25
1063971463 Sarah Elizabeth Epps Speech-Language Pathologist 156 Peachtree East #149, Peachtree City, GA 30269 2019-03-15
1689139362 Resiliency Behavioral Health Services LLC Counselor 145 Govenors Square, Ste A, Fayetteville, GA 30269 2019-02-06
1447753686 Kelli M Shelton Counselor 145 A Governor's Sq., Peachtree City, GA 30269 2018-03-14
1346754215 Mary Imani Brooks Social Worker 700 S Fairfield Dr, Peachtree City, GA 30269 2017-11-29
Find all providers in zip 30269

Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073112645 Brothers Helping Hands of Nc Home Health 347 St Thomas Rd, Fayetteville, NC 28311-2966 2020-10-23
1538779350 Beas Private Home Care Home Health 155 Handshaker Ct, Fayetteville, GA 30215-7404 2020-08-06
1205455367 Felicia M Mcdonald Home Health 951 S Mcpherson Church Rd Ste 103b, Fayetteville, NC 28303-5383 2020-04-09
1487289518 It-s About You, Inc Home Health 5425 Murchison Rd Ste A, Fayetteville, NC 28311-2251 2020-03-09
1629617691 Our House Inc. Home Health 814 Hope Mills Rd Ste B, Fayetteville, NC 28304-2223 2019-12-23
1063050219 Barbara King Home Agency Inc Home Health 108 Hay St Ste 216, Fayetteville, NC 28301-5686 2019-12-18
1427691500 Pristine Care Group, LLC Home Health 1507 Grandview Drive, Fayetteville, NC 28314-1806 2019-10-22
1558911636 Lila Huff Home Health 111 Lamon St Ste 114, Fayetteville, NC 28301-4917 2019-09-19
1043875321 Nurturing Hearts Home Health Care Inc. Home Health 185 Seawright Dr, Fayetteville, GA 30215-5292 2019-05-02
1982184974 Amelias Den Personal Care Home Inc Home Health 101 Devant St Ste 105, Fayetteville, GA 30214-2711 2018-08-19
Find all providers in FAYETTEVILLE

Competitor

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City FAYETTEVILLE
Zip Code 30269

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Dataset Information

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.

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