Floyd Home Care Services
Organization Active NPI Home Health Agency · Rome, GA
NPI 1467535161 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1467535161
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 057097 (GA)
- Legal business name
- FLOYD HOME CARE SERVICES
- Practice address
- 800 Broad St
Rome, GA 30161-3026 - Phone
- (706) 802-4638
- Fax
- (706) 802-2138
- NPI assigned
- Oct 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Gregory D. Polley
- Title
- Vice President
- Phone
- (706) 509-3278
Owned or controlled facilities with NPI records 8
Other NPIs with the same Medicare PAC ID 7
Corporate family (same tax ID) 21
Practitioners 134
-
Jennifer Ackley, FNP-C
-
Lisa Pinkard Acree, ANP-BC
-
William Gregory Asbury, M.D.
-
Salman Baseer, MD
-
Kayla Benton, DO
-
Alaina Candice Bishop, FNP-C
-
Lisa Blake, MD
-
Timothy Wayne Champion, FNP-CFRN-NRP
-
Barbara Danielle Chester, NURSE PRACTITIONER
-
Donna Faye Childers, FNP
-
Kimberly Nacole Clark, APRN, FNP-BC, NP-C
-
James E Collins, M.D.
-
Emma Cordle, NP
-
Matthew Thomas Cornforth, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
All facility ownership & control disclosures 8
| Facility | Type | Role | Since |
|---|---|---|---|
| Atrium Health Floyd Medical Center |
Hospital | Operational/Managerial Control | Nov 5, 2007 |
| Atrium Health Floyd Medical Center |
Hospital | Operational/Managerial Control | Nov 5, 2007 |
| Atrium Health Floyd Polk Medical Center |
Hospital | Operational/Managerial Control | Nov 6, 2014 |
| Atrium Health Floyd Polk Medical Center |
Hospital | Operational/Managerial Control | Nov 6, 2014 |
| Atrium Health Floyd Cherokee Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Nov 5, 2007 |
| Atrium Health Floyd Cherokee Medical Center Rural Health Clinic Piedmo |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2020 |
| Atrium Health Floyd Cherokee Medical Center Rural Health Clinic Centre |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2020 |
| Atrium Health Floyd Cherokee Medical Center Rural Health Clinic Cherok |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040730000347 | GA | Part a Provider - Home Health Agency | 5193633386 | Practice locations: Rome, GA |
National Provider Directory
- Tax ID family
- Family Practice Redisen
Locations
800 Broad St
Rome, GA 30161
Phone (706) 802-4638
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 057097 | GA | Yes |
Addresses
Primary practice location
800 Broad St
Rome, GA 30161-3026
Mailing address
420 E 2ND Ave
Suite 103
Rome, GA 30161-3224
Phone (706) 509-3278
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00041302A | Medicaid | GA |
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.