Provider Demographics
NPI:1437775764
Name:THE MAINES GROUP, LLC
Entity Type:Organization
Organization Name:THE MAINES GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH CARE MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ROSEMARY
Authorized Official - Middle Name:
Authorized Official - Last Name:MAINES
Authorized Official - Suffix:
Authorized Official - Credentials:STUDENT HEALTH
Authorized Official - Phone:404-941-7661
Mailing Address - Street 1:THE MAINES GROUP, LLC DBA MAINES HEALTH AND WELLNESS
Mailing Address - Street 2:3461 JESSICA RUN
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30034
Mailing Address - Country:US
Mailing Address - Phone:404-941-7661
Mailing Address - Fax:
Practice Address - Street 1:THE MAINES GROUP, LLC DBA MAINES HEALTH AND WELLNESS
Practice Address - Street 2:3461 JESSICA RUN
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30034
Practice Address - Country:US
Practice Address - Phone:404-941-7661
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-23
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty
No225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation TherapistGroup - Multi-Specialty
No372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty