COUNTRY MANOR ESTATES PERSONAL CARE HOME LLC (NPI# 1851692008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851692008 |
| Entity Type | Organization |
| Organization Name | COUNTRY MANOR ESTATES PERSONAL CARE HOME LLC |
| Practice Address |
1487 Allen Rd Macon GA 31216-5817 |
| Practice Telephone | 4787819387 |
| Practice Fax Number | 4787819387 |
| Mailing Telephone | 4787819387 |
| Mailing Fax Number | 4787819387 |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-04 |
| Authorized Official Name | MS. FAYE L GROOVER (OWNER) |
| Authorized Official Telephone | 4787819387 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 011-01-058-1 | GA | Nursing & Custodial Care Facilities |
| Street Address |
1487 ALLEN RD |
| City | MACON |
| State | GA |
| Zip Code | 31216-5817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962407957 | Faye Lewis Groover | Technician | 1487 Allen Rd, Macon, GA 31216-5817 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125282 | Georgia Treatment Services | Clinic/Center | 6132 Hawkinsvill Road, Macon, GA 31216 | 2019-07-02 |
| 1720495898 | Erma Wells Heard | Nurse Practitioner | 217 Pendleton Ct., Macon, GA 31216 | 2014-07-21 |
| 1881959518 | Leigh Underwood Bennett | Dentist | 4226 Hartley Bridge Rd Ste 102, Macon, GA 31216 | 2012-07-09 |
| 1295980456 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 4585 Hartley Bridge Rd., Macon, GA 31216 | 2008-12-01 |
| 1013083336 | Rutland Medical Supply | Durable Medical Equipment & Medical Supplies | 3035 Hartley Bridge Road, Suite 2, Macon, GA 31216 | 2006-11-28 |
| 1477074318 | Hollie K Bradley | Nurse Practitioner | 4310 Hartley Bridge Rd, Macon, GA 31216 | 2017-06-30 |
| 1104206713 | Hartley Bridge Family Dentistry | Dentist | 4226 Hartley Bridge Rd Ste 102, Macon, GA 31216 | 2015-06-09 |
| 1144432048 | Family Specialty Care LLC | Family Medicine | 4310 Hartley Bridge Rd, Macon, GA 31216 | 2007-05-04 |
| 1164598710 | Kirsten J Hampton | Family Medicine | 4310 Hartley Bridge Rd, Macon, GA 31216 | 2006-11-27 |
| 1063588614 | Cameka N Scarborough | Family Medicine | 4310 Hartley Bridge Rd, Macon, GA 31216 | 2006-11-27 |
| Find all providers in zip 31216 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992265193 | Bibb Alc LLC | Assisted Living Facility | 4901 Harrison Rd, Macon, GA 31206-4135 | 2019-03-22 |
| 1700389558 | Christine L Wiggins | Assisted Living Facility | 1154 Magnolia Dr, Macon, GA 31217-4223 | 2018-03-16 |
| 1811449796 | Caroline Renfroe | Assisted Living Facility | 4732 Sgoda Rd, Macon, GA 31217-8855 | 2016-10-26 |
| 1770821050 | Healing Hands Personal Care Home | Assisted Living Facility | 1157 Rocky Creek Rd, Macon, GA 31206-2639 | 2013-01-22 |
| 1033484928 | Life Trust America, Inc | Assisted Living Facility | 6191 Peake Rd, Macon, GA 31220-3957 | 2012-03-12 |
| 1164622387 | Spain Personal Care Home, Inc | Assisted Living Facility | 3075 Antioch Rd, Macon, GA 31206-1545 | 2007-07-25 |
| 1912113242 | Bristol Care, Inc. | Assisted Living Facility | 707 Ranchland Dr, Macon, MO 63552-1994 | 2007-05-15 |
| 1821210964 | Macon Senior Living, LLC | Assisted Living Facility | 250 Water Tower Court, Macon, GA 31210 | 2007-05-02 |
| 1306493416 | Snh Georgia Tenant LLC | Assisted Living Facility | 6191 Peake Rd, Macon, GA 31220-3958 | 2019-08-22 |
| 1033546957 | Quality Choice PCh | Assisted Living Facility | 3075 Antioch Rd, Macon, GA 31206-1545 | 2013-10-09 |
| Find all providers in MACON | ||||
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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.