Kimberly Natashia Mickens
Developmentally Disabled Services Day Training Agency in Washington, Georgia
NPI 1477334415
Kimberly Natashia Mickens is a Developmentally Disabled Services Day Training Agency based in Evans, GA. Kimberly Natashia Mickens practices in Washington, GA. The NPI Number for Kimberly Natashia Mickens is 1477334415 and holds a License No. LPN099093 (Georgia).
The current practice location address for Kimberly Natashia Mickens is 275A Thomson Rd, Washington, GA and can be reached out via phone at 706-338-8350.
Location: 275A Thomson Rd, Washington, GA, 30809-6695
Provider Profile Details
NPI Number
1477334415
Provider Name
Kimberly Natashia Mickens
Credential
Provider Entity Type
Individual
Gender
Female
Address
275A Thomson Rd, Washington, GA, 30809-6695
Phone Number
706-338-8350
Fax Number
Provider Enumeration Date
10/06/2023
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
275A Thomson Rd
City
State
Zip
30673-4313
Phone Number
706-338-8350
Fax Number
Provider Business Mailing Address Details
Address
275A Thomson Rd
City
State
Zip
30673-4313
Phone Number
706-338-8350
Fax Number
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
License No.
LPN099093 (Georgia)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Provider's Taxonomy Details 2
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
License No.
LPN099093 (Georgia)
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 3
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
LPN099093 (Georgia)
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 4
Type
Agencies
Classification
Nursing Care
Speciality
-
Taxonomy
License No.
LPN099093 (Georgia)
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
License No.
LPN099093 (Georgia)
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
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
License No.
LPN099093 (Georgia)
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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