PROFESSIONAL ASSOCIATES HEALTH CARE OF GEORGIA


Address: 310 Ivanhoe Dr, Fayetteville, GA 30215-2041
Phone: 7704619228

PROFESSIONAL ASSOCIATES HEALTH CARE OF GEORGIA (NPI# 1942548466) 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) 1942548466
Entity Type Organization
Organization Name PROFESSIONAL ASSOCIATES HEALTH CARE OF GEORGIA
Practice Address 310 Ivanhoe Dr
Fayetteville
GA 30215-2041
Practice Telephone 7704619228
Practice Fax Number 6785658496
Mailing Telephone 7704619228
Mailing Fax Number 6785658496
Enumeration Date 2013-01-17
Last Update Date 2013-01-17
Authorized Official Name MR. AGNEAU JEAN-SIMON (CEO)
Authorized Official Telephone 7704619228
Authorized Official Credential MS EDUCATION
Is Organization Subpart Y
Parent Organization Name PROFESSIONAL ASSOCIATES HEALTH CARE OF GA

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251J00000X Nursing Care Agencies
N 253Z00000X In Home Supportive Care Agencies
Y 251E00000X Home Health Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1225338577 Professional Associates Health Care of Georgia Community/Behavioral Health 310 Ivanhoe Dr, Fayetteville, GA 30215-2041 2010-11-02

Office Location

Street Address 310 IVANHOE DR
City FAYETTEVILLE
State GA
Zip Code 30215-2041

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225338577 Professional Associates Health Care of Georgia Community/Behavioral Health 310 Ivanhoe Dr, Fayetteville, GA 30215-2041 2010-11-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801370051 Truly Nourished, LLC Dietitian, Registered 500 West Lanier Ave., Suite 908, Fayetteville, GA 30215 2018-09-23
1104343839 Pandora G Brown Specialist 65 Black Watch Ct, Fayetteville, GA 30215 2017-08-23
1902264492 Ty-re Lamont Dixon Sr. Durable Medical Equipment & Medical Supplies 220 Shoreline Dr., Fayetteville, GA 30215 2016-01-29
1962870030 Matthew Christian Alvarez Dentist 113 Ebenezer Rd Ste 101, Fayetteville, GA 30215 2015-09-08
1831534346 Kevin Tyler Goelz Radiology 605 Wentworth Ct, Fayetteville, GA 30215 2013-05-10
1518249739 William J. Holcomb Pharmacist 880 Hwy 85 South, Fayetteville, GA 30215 2011-09-14
1407168131 All Care Home Health Equipment, LLC Durable Medical Equipment & Medical Supplies 1000 Cooper Circle, Suite 201, Fayetteville, GA 30215 2010-07-10
1083854160 Rachel Blanks Licensed Practical Nurse 170 Brookwood Lane, Fayetteville, GA 30215 2009-03-02
1093964975 Brenda Carole Hayek Nurse Practitioner 735 Glynn Street S, Fayetteville, GA 30215 2008-09-16
1174700769 Katheryn D. Mcdonell Counselor 110 Dawn Drive, Fayetteville, GA 30215 2008-01-25
Find all providers in zip 30215

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

Search similar providers

City FAYETTEVILLE
Zip Code 30215

Improve Information

Please comment or provide details below to improve the information on PROFESSIONAL ASSOCIATES HEALTH CARE OF GEORGIA.

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.

Trending Searches