SOUTHERN GROUP HOMES, LLC (NPI# 1033424171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033424171 |
| Entity Type | Organization |
| Organization Name | SOUTHERN GROUP HOMES, LLC |
| Practice Address | 5450 Platte Dr Ellenwood GA 30294-6667 |
| Practice Telephone | 7704729113 |
| Mailing Address | Po Box 228 Easley SC 29641-0228 |
| Mailing Telephone | 7704729113 |
| Mailing Fax Number | 7702161658 |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2010-08-13 |
| Authorized Official Telephone | 8649795397 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address | 5450 PLATTE DR |
| City | ELLENWOOD |
| State | GA |
| Zip Code | 30294-6667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124323 | Lula Varist Gholson | Counselor | Christian Counselor Ma Lou Gholson, 549 Lamar Drive, Forest Park, GA 30294 | 2019-10-04 |
| 1609428176 | Tykechia Todd | Ambulance | 3644 Caseys Cove, Ellenwood, GA 30294 | 2019-07-15 |
| 1891285243 | Ayana Aqila Thornton | Nurse Practitioner | 5654 Hosea Court, Ellenwood, GA 30294 | 2018-05-11 |
| 1346748837 | Kakethia S. Mack | Nurse Practitioner · Family | 4124 Bosenberry Way, Ellenwood, GA 30294 | 2018-01-30 |
| 1851819312 | Tatiana Marcus | Prosthetist | 3895 Busby Mill Ct., Ellenwood, GA 30294 | 2017-09-05 |
| 1962944991 | Fairview Urgent Care, LLC | Clinic/Center · Urgent Care | 4475 West Village Pkwy, Ellenwood, GA 30294 | 2016-11-08 |
| 1982006169 | Kristal Cure | Licensed Practical Nurse | 4057 Madiosn Court, Ellenwood, GA 30294 | 2014-09-19 |
| 1801233515 | 1st Class Learning and Performing Arts | Local Education Agency (LEA) | 5474 Platte Dr, Ellenwood, GA 30294 | 2013-06-04 |
| 1235480138 | Life Wellness Group of Atlanta | Home Delivered Meals | 145 Wilhemina Drive, Ellenwood, GA 30294 | 2012-10-02 |
| 1346548450 | William K Holley IIi | Counselor · Professional | 2732 Holly Berry Dr, Ellenwood, GA 30294 | 2011-03-14 |
| Find all providers in zip 30294 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225432792 | Eleanor Brown Williams | 864 Clark Dr, Ellenwood, GA 30294-2654 | 2014-10-13 | |
| 1972803310 | K's House | 5556 Shoshone Pass, Ellenwood, GA 30294-6677 | 2010-11-02 | |
| 1144539149 | New Horizon Group Homes Inc | 1999 Smithfield Ave, Ellenwood, GA 30294-1638 | 2010-09-25 | |
| 1679888713 | Integra Group Homes, LLC | 5566 Platte Dr, Ellenwood, GA 30294-6656 | 2010-08-13 | |
| 1942515085 | Total Care Group Homes, LLC | 5570 Platte Dr, Ellenwood, GA 30294-6656 | 2010-08-13 | |
| 1003145574 | A Better You, LLC | 416 Midway Pt, Ellenwood, GA 30294-2980 | 2009-12-13 | |
| 1154658656 | Global Counseling & Consulting Services | 5863 Sunflower Ct, Ellenwood, GA 30294-3890 | 2009-11-04 | |
| 1477747244 | Divinity Sentiments Inc | 4328 Clevemont Rd, Ellenwood, GA 30294-1329 | 2007-09-05 | |
| 1467645044 | Harvestlodge Homes and Services for Children and Families | 4187 Connor Dr., Ellenwood, GA 30294 | 2007-08-27 | |
| 1063603413 | Abba House Human Development and Resources Center of Ga, Inc. · America's Hope and Help Rehabilitation Services, Inc. | 110 Tasha Cir, Ellenwood, GA 30294-3046 | 2007-08-09 | |
| Find all providers in ELLENWOOD | ||||
| City | ELLENWOOD |
| Zip Code | 30294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700904570 | Southern Comfort Community Homes, LLC · Edwin Drive Group Home | Nursing Facility/Intermediate Care Facility | 134 Habetz Loop, Rayne, LA 70578-6627 | 2007-03-27 |
| 1851410385 | Southern Comfort Community Homes, LLC · Ledia Simon Group Home | Nursing Facility/Intermediate Care Facility | 3779 Heritage Rd, Rayne, LA 70578-7750 | 2007-03-28 |
| 1457999849 | Eri Industries, LLC, Dba Eri Group Homes · Eri Group Homes | Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2300 W. Commerce#216, San Antonio, TX 78207 | 2019-12-16 |
| 1225156094 | Southern Comfort Community Homes, LLC · Abbeville Group Home | Nursing Facility/Intermediate Care Facility | 1706 Michael St, Abbeville, LA 70510-7124 | 2007-03-27 |
| 1659806545 | Milestone Group Homes & Nursing · Milestone Group Homes | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9014 Orange Hunt Ln, Annandale, VA 22003-4126 | 2017-04-27 |
| 1023156569 | Ghsd Inc. (dba) Agape Group Homes · Agape Group Homes | Residential Treatment Facility, Emotionally Disturbed Children | 716 Green Path Rd, Godwin, NC 28344-8918 | 2007-02-04 |
| 1447374202 | Lee County Group Homes Inc. · Lee County Group Homes | Clinic/Center · Developmental Disabilities | 2412 Knollwood Dr, Sanford, NC 27330-7671 | 2007-03-19 |
| 1457893422 | Ccs-Quality Group Homes · Quality Group Homes | Counselor · Mental Health | 4946 E Yale Ave Ste 103, Fresno, CA 93727-1571 | 2016-11-08 |
| 1629192489 | Lee County Group Homes Inc. · Lee County Group Homes | Clinic/Center · Developmental Disabilities | 3101 Carbonton Rd, Sanford, NC 27330-8214 | 2007-03-19 |
| 1366005423 | Rn Group Homes · Behavioral Homes 365 | Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2531 E Inglewood St, Mesa, AZ 85213-3510 | 2019-04-15 |
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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.