More Care II Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

326100127B Issued in GA

Legal business name

MORE CARE II INC

Practice address

5038 Story Mill Rd
Hephzibah, GA 30815-4814

Phone

(706) 360-1813

Fax

(706) 790-9925

NPI assigned

Aug 25, 2010

Organization subpart

Yes

Parent organization

FIRST IMEX CORPAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Clara A Owolabi, MA,BS,LPN

Title

Director

Phone

(706) 360-1813

Specialties & licenses 4

Addresses

Other identifiers 4

Other names 1

• First Imex Corp Doing business as

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• First Imex Corp

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Hepizibah, GA
  • NPI 1467878561
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1982910261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5038 STORY MILL RD",
            "city": "HEPHZIBAH",
            "state": "GA",
            "postal_code": "308154814",
            "telephone_number": "706-360-1813",
            "fax_number": "706-790-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5038 STORY MILL RD",
            "city": "HEPHZIBAH",
            "state": "GA",
            "postal_code": "308154814",
            "telephone_number": "706-360-1813",
            "fax_number": "706-790-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORE CARE II INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRST IMEX CORP",
        "enumeration_date": "2010-08-25",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "OWOLABI",
        "authorized_official_first_name": "CLARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "706-360-1813",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA,BS,LPN"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "GA",
            "license": "326100127D",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "GA",
            "license": "326100127B",
            "primary": true
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "GA",
            "license": "326100127D",
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "GA",
            "license": "326100127C",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "236100127A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "326100127B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "326100127C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "326100127D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Imex Corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clarissa Jo Middleton, P.H.D., M.ED.
• Elizabeth James Miles, OT
• Carolyn R Miller, OT
• Brenda Turner Mims, RN
• Brian Joseph Mizeski, LAT, ATC
• Tramisha U Mullings
• Angela D Nabors
• Meredith Moore Newman, SLP
• Noble Care Wellness LLC
• Norman Behavioral Health

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Hephzibah, GA
• Providers in Hephzibah, GA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.