Organization
THE J&R GROUP GA I NC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOHANNA MARTIN (ADMINISTRATOR)
(478) 461-7021
Entity
Organization
Contact information
Practice address
1910 WOOD VALLEY RD, MACON, GA 31211-1619
(478) 461-7021
Mailing address
1910 WOOD VALLEY RD, MACON, GA 31211-1619
(478) 461-7021
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
Primary
—
—
164W00000X
Licensed Practical Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225700000X
Massage Therapist
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
332U00000X
Home Delivered Meals
—
—
364SG0600X
Gerontology Clinical Nurse Specialist
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
CASE MANAGEMENT
—
Enumeration date
04/08/2020
Last updated
02/04/2025
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