Macksimum Alliance

LBN: Macklander, Llc
Macksimum Alliance is an health care organization with primary practice located at 1514 Baldwin Lakes Dr , Grovetown GA 30813-5887. The organization recently has 2 registered licenses in different health care specialties including Agencies / Nursing Care, Ambulatory Health Care Facilities / Developmental Disabilities. Ambulatory Health Care Facilities / Developmental Disabilities is the primary health care specialty. Macklander, Llc can be contacted via phone (706) 854-0555, or through Mack, Shelley Diane via phone (706) 854-0555.

Contact Information

Primary practice address
1514 Baldwin Lakes Dr Grovetown GA 30813-5887
Phone: (706) 854-0555
Fax: (706) 651-9677
Website:
Map and Directions
Authorized official contact:
Name: Mack, Shelley Diane
Phone: (706) 854-0555

Health care specialties

SpecialtyCodeLicense #State
Agencies / Nursing Care 251J00000X 036-R-0525 Georgia
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X 036-R-0525 Georgia

Profile Details

NPI number 1801134739
LBN Legal business name Macklander, Llc
DBA Doing business as Macksimum Alliance
Authorized official Mack, Shelley Diane
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 28th, 2013
Last updated Jan 28th, 2013 - about 12 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 1801134739 NPPES
Georgia MEDICAID 366878280B
Georgia MEDICAID 366878280A

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