WISBA HOME CARE AND PROFESSIONAL CAREER CENTER LLC (NPI# 1881107118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881107118 |
| Entity Type | Organization |
| Organization Name | WISBA HOME CARE AND PROFESSIONAL CAREER CENTER LLC |
| Practice Address |
2220 Atlanta Rd Se Ste 103 Smyrna GA 30080-1541 |
| Mailing Address |
Po Box 1915 Kennesaw GA 30156-8915 |
| Practice Telephone | 8004139066 |
| Mailing Telephone | 6786969905 |
| Mailing Fax Number | 8004102504 |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2017-11-08 |
| Authorized Official Name | JEAN W BASTIA (OWNER ADMINISTRATOR CEO) |
| Authorized Official Telephone | 6784254030 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | 033-R-1532 | GA | Agencies |
| Street Address |
2220 ATLANTA RD SE STE 103 |
| City | SMYRNA |
| State | GA |
| Zip Code | 30080-1541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205169 | Suny Varughese | Nurse Practitioner | Minute Clinic, 2994 Atlanta Rd, Se, Smyrna, GA 30080 | 2020-08-11 |
| 1891287645 | Provident Group - Creekside Properties LLC | Alzheimer Center (Dementia Center) | 4838 South Cobb Drive, Smyrna, GA 30080 | 2018-06-06 |
| 1710490743 | Alina Rim | Registered Nurse | 4532 Chelton Ct Se, Smyrna, GA 30080 | 2017-11-13 |
| 1932626488 | Richard Kyle Davis | Pharmacist | 2955 Atlanta Rd Se, Smyrna, GA 30080 | 2017-08-25 |
| 1982071163 | Amelia Rafaela Turrubiates-huacuja | Counselor | 1246-c Concord Rd, Suite 101, Smyrna, GA 30080 | 2015-08-24 |
| 1275919755 | Anne Waldner Rohling | Physical Therapist | 1155 Concord Rd Se Ste 210, Smyrna, GA 30080 | 2015-08-06 |
| 1790167856 | Kay Yetunde Johnson | Nurse Practitioner | 3001 Lusk Dr, Smyrna, GA 30080 | 2015-06-25 |
| 1689055436 | Anew You Couneling, LLC | Community/Behavioral Health | 3188 Atlanta Rd, Smyrna, GA 30080 | 2015-06-17 |
| 1457766370 | Trondi Jerry | Counselor | 3381 Atlanta Rd Se, Smyrna, GA 30080 | 2014-06-30 |
| 1093081903 | Ashish Kapila | Podiatrist | Wellstar Podiatry, 4441 Atlanta Rd Se Suite 215, Smyrna, GA 30080 | 2012-03-25 |
| Find all providers in zip 30080 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487299418 | Harmony Life Home Care LLC | In Home Supportive Care | 1701 Cobb Xing Se, Smyrna, GA 30080-7140 | 2019-11-13 |
| 1861034555 | Assisted Family Care | In Home Supportive Care | 701 President Pl Ste 165, Smyrna, TN 37167-6489 | 2019-10-14 |
| 1336602523 | First Class Home Care LLC | In Home Supportive Care | 113 Needham Dr, Smyrna, DE 19977-4468 | 2019-04-13 |
| 1104309343 | Andrea Nicole Mingo | In Home Supportive Care | 1220 Walton Ln Se, Smyrna, GA 30082-3873 | 2018-09-13 |
| 1518411792 | Campbell Family Care, LLC | In Home Supportive Care | 400 Chaney Rd Apt 1020, Smyrna, TN 37167-2661 | 2016-08-05 |
| 1992169817 | One Nurse LLC | In Home Supportive Care | 2075 Anderson Dr Se, Smyrna, GA 30080-5809 | 2016-04-06 |
| 1336494798 | Addus Healthcare (south Carolina), Inc. | In Home Supportive Care | 3300 Highlands Pkwy Se, Suite 140, Smyrna, GA 30082-5131 | 2012-07-20 |
| 1467749267 | Lorddys Healthcare Solutions | In Home Supportive Care | 3800 Highlands Pkwy Se, Smyrna, GA 30082-5185 | 2011-06-30 |
| 1306144498 | Good Samaritan Home Care, LLC | In Home Supportive Care | 304 S Lowry St, Suite C, Smyrna, TN 37167-3415 | 2011-03-14 |
| 1659671717 | Rivers Premiere Care, Inc | In Home Supportive Care | 2300 Lake Park Dr Se Ste 280, Smyrna, GA 30080-7652 | 2010-10-23 |
| Find all providers in SMYRNA | ||||
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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.