Jeremy'S Place Inc.

LBN: Jeremy'S Place Inc.
Jeremy'S Place Inc. is an health care organization with primary practice located at 4910 Jonesboro Rd Ste 201 , Union City GA 30291-2087. The organization recently has 6 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Home Health, Agencies / In Home Supportive Care, Ambulatory Health Care Facilities / Adult Day Care, Ambulatory Health Care Facilities / Developmental Disabilities, Transportation Services / Non-emergency Medical Transport (VAN). Ambulatory Health Care Facilities / Adult Day Care is the primary health care specialty. Jeremy'S Place Inc. can be contacted via phone (770) 969-9334, or through Jackson-Brown, Lateisha Nichol via phone (770) 969-9334.

Contact Information

Primary practice address
4910 Jonesboro Rd Ste 201 Union City GA 30291-2087
Phone: (770) 969-9334
Fax: (770) 969-9337
Website:
Map and Directions
Authorized official contact:
Name: Jackson-Brown, Lateisha Nichol
Phone: (770) 969-9334

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Home Health 251E00000X
Agencies / In Home Supportive Care 253Z00000X
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X

Profile Details

NPI number 1447877683
LBN Legal business name Jeremy'S Place Inc.
DBA Doing business as
Authorized official Jackson-Brown, Lateisha Nichol
Entity Organization
Organization subpart 1 No
Enumeration date Jul 4th, 2020
Last updated Jul 4th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447877683 NPPES
Georgia MEDICAID 604196354A
Georgia MEDICAID 003203627A
Georgia MEDICAID 003203627B
Georgia MEDICAID 604196354B

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