HAPEVILLE MANOR ASSISTED LIVING FACILITY INC NPI 1083982797

NPI Information

NPI: 1083982797
Provider Name: HAPEVILLE MANOR ASSISTED LIVING FACILITY, INC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
601 COLEMAN ST
HAPEVILLE, GA
ZIP 30354
Phone: (404) 767-5874
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HAPEVILLE MANOR ASSISTED LIVING FACILITY, INC is a community based residential treatment facility, intellectual and/or developmental disabilities in Hapeville, GA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. HAPEVILLE MANOR ASSISTED LIVING FACILITY, INC NPI is 1083982797. The provider is registered as an organization entity type.

The provider's business location address is:

601 COLEMAN ST
HAPEVILLE, GA
ZIP 30354-041
Phone: (404) 767-5874
Fax: (404) 305-9461

The provider's authorized official is Carlton S. Watt .
The authorized official title is Ceo and has the following contact phone number (404) 767-5874.

The enumeration date for this NPI number is 12/8/2011 and was last updated on 12/8/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness		060030111	GEORGIA	No
2	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		060030111	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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