Organization
S.I.P.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANIE DOUGLASS HAMILTON RN, MSN (CEO, ADMINISTRATOR)
(706) 447-3972
Entity
Organization
Contact information
Practice address
2917-B PROFESSIONAL PARKWAY, SUITE B, AUGUSTA, GA 30907-3581
(706) 447-3972
(706) 447-3975
Mailing address
4264 WATERSTON COURTYARD, EVANS, GA 30809-5036
(706) 447-3972
(706) 447-3975
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
163WM0705X
Medical-Surgical Registered Nurse
29393
SC
163WM0705X
Medical-Surgical Registered Nurse
RN165844
GA
164W00000X
Licensed Practical Nurse
—
—
251J00000X
Nursing Care Agency
Primary
RN165844
GA
253Z00000X
In Home Supportive Care Agency
121-R-0351
GA
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121-R-0351
DHR, STATE LICENSE, NURSING SERVICES, PERSONAL CARE, COMPANION/SITTERS
GA
Enumeration date
02/25/2009
Last updated
02/25/2009
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