Jeremy's Place Inc. is a Non-emergency Medical Transport (VAN) based in Union City, GA. Jeremy's Place Inc. practices in Union City, GA. The NPI Number for Jeremy's Place Inc. is 1447877683 and holds a License No. (Georgia).
The current practice location address for Jeremy's Place Inc. is 4910 Jonesboro Rd Ste 201, Union City, GA and can be reached out via phone at 770-969-9334 and via fax at 770-969-9337.
Location: 4910 Jonesboro Rd Ste 201, Union City, GA, 30291-2087
Provider Profile Details
NPI Number
1447877683
Provider Name
Jeremy's Place Inc.
Credential
Provider Entity Type
Organization
Address
4910 Jonesboro Rd Ste 201, Union City, GA, 30291-2087
Phone Number
770-969-9334
Fax Number
770-969-9337
Provider Enumeration Date
07/04/2020
Last Update Date
03/13/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 604196354A | 05 | GA | |
| 003203627A | 05 | GA | |
| 003203627B | 05 | GA | |
| 604196354B | 05 | GA |
Provider Business Practice Location Address Details
Address
4910 Jonesboro Rd Ste 201
City
State
Zip
30291-2087
Phone Number
770-969-9334
Fax Number
770-969-9337
Provider Business Mailing Address Details
Address
4910 Jonesboro Rd Ste 201
City
State
Zip
30291-2087
Phone Number
770-969-9334
Fax Number
770-969-9337
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
License No.
()
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
Provider's Taxonomy Details 2
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
()
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.
Provider's Taxonomy Details 3
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
License No.
()
Definition
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.
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Day Care
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
License No.
()
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Provider's Taxonomy Details 6
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
License No.
()
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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