YOURHOME SENIOR CARE LLC (NPI# 1982259487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982259487 |
Entity Type | Organization |
Organization Name | YOURHOME SENIOR CARE LLC |
Practice Address |
105 Martin Luther King Jr Dr Forsyth GA 31029-1698 |
Mailing Address |
Po Box 800 Forsyth GA 31029-0800 |
Practice Telephone | 4789521809 |
Mailing Telephone | 4789949535 |
Enumeration Date | 2019-08-02 |
Last Update Date | 2019-08-02 |
Authorized Official Name | DIANA WILKS (OWNER/ADMINISTRATOR) |
Authorized Official Telephone | 4789949535 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251E00000X | Home Health | Agencies | ||
Y | 253Z00000X | In Home Supportive Care | Agencies |
Street Address |
105 MARTIN LUTHER KING JR DR |
City | FORSYTH |
State | GA |
Zip Code | 31029-1698 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174583116 | Thomas Bush Perry | Optometrist | 105 Martin Luther King Jr Dr, Forsyth, GA 31029-1698 | 2006-03-24 |
1437316544 | Dr Thomas B Perry Od PC | Eyewear Supplier (Equipment, not the service) | 105 Martin Luther King Jr Dr, Forsyth, GA 31029-1698 | 2008-05-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699836833 | River Edge Behavioral Health Center | Community/Behavioral Health | 101 Willis Wilder Drive, Forsyth, GA 31029 | 2006-12-12 |
1497840821 | Castleberry Drug Company, LLC | Pharmacist | 67 N. Lee St, Forsyth, GA 31029 | 2006-10-03 |
1437168853 | Mclendon Pt Services LLC | Physical Therapist | 320 Lee King Rd, Forsyth, GA 31029 | 2006-08-05 |
1831168905 | Patton P Smith | Family Medicine | 90-a Martin Luther King Jr Drive, Forsyth, GA 31029 | 2006-03-14 |
1124504782 | Kenneth Wayne Waddell Jr. | Nurse Practitioner | 120 N Lee St Ste A, Forsyth, GA 31029 | 2018-07-17 |
1790176865 | Speechworks 4 Kids, LLC | Speech-Language Pathologist | 215 Cresent Dr, Forsyth, GA 31029 | 2015-02-11 |
1316988645 | Sarah Elizabeth Conklin | Nurse Practitioner | 90-a Martin Luther King Jr. Drive, Forsyth, GA 31029-0000 | 2006-06-09 |
1801981592 | Craig Caldwell | Internal Medicine | 97 Martin Luther King Jr Dr, Forsyth, GA 31029-1648 | 2006-10-04 |
1518079326 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 91 Martin Luther King Jr Dr, Forsyth, GA 31029-1648 | 2006-08-31 |
1427160191 | Tammy Lynn Barnett | Nurse Practitioner | 97 Martin Luther King Jr. Dr., Forsyth, GA 31029-1648 | 2006-08-31 |
Find all providers in zip 31029 |
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 |
---|---|---|---|---|
1982938486 | Rosebud Community Hospital, Inc | In Home Supportive Care | 383 North 17th Avenue, Forsyth, MT 59327-0268 | 2009-09-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336740356 | Charlies Angels Care Corp | In Home Supportive Care | 525 W Broad St, Twin City, GA 30471-4187 | 2020-11-05 |
1316547433 | Xl Promise Home Care LLC | In Home Supportive Care | 102 Highland Park Trl, Sandy Springs, GA 30350-3392 | 2020-10-28 |
1639779960 | Caring House Home Care Services, LLC | In Home Supportive Care | 1100 Pittsburgh Ave, White Plains, GA 30678 | 2020-10-27 |
1518565159 | First Choice Home Health Care LLC | In Home Supportive Care | 600 Westridge Parkway, Suite 707, Mcdonough, GA 30253 | 2020-10-15 |
1871100123 | Angella Miller | In Home Supportive Care | 326 Carrington Ln, Douglasville, GA 30135-6712 | 2020-09-29 |
1366059222 | Esther Home Care Services LLC | In Home Supportive Care | 3153 Chapel Rd Nw, Kennesaw, GA 30144-4203 | 2020-09-25 |
1538776570 | Superior Home Care Services, LLC | In Home Supportive Care | 2242 Young America Dr, Lawrenceville, GA 30043-8011 | 2020-09-24 |
1548876816 | Dwe-bah Home Care LLC. | In Home Supportive Care | 1991 Roxey Ln, Winder, GA 30680-6124 | 2020-09-21 |
1174138416 | Crossley Seniorcare LLC | In Home Supportive Care | 4321 S Lee St Ste 400, Buford, GA 30518-5776 | 2020-09-14 |
1427662634 | V E Health Services LLC | In Home Supportive Care | 3164 Town and Country Road, Donalsonville, GA 39845 | 2020-09-04 |
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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.