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).
| 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 |
| 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 |
| Street Address |
401 TOPAZ TRAIL PEACHTREE CITY |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30269 |
| 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 Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| 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] |
| 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 | ||||
| City | FAYETTEVILLE |
| Zip Code | 30269 |
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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.