GEORGIA MOUNTAINS COMMUNITY SERVICES NPI 1245541192

NPI Information

NPI: 1245541192
Provider Name: GEORGIA MOUNTAINS COMMUNITY SERVICES

Doing Business As: AVITA COMMUNITY PARTNERS

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
5700 FERNSIDE DR
TOCCOA, GA
ZIP 30577
Phone: (706) 886-6521
Get Directions

GEORGIA MOUNTAINS COMMUNITY SERVICES is a community based residential treatment facility, intellectual and/or developmental disabilities in Toccoa, 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. GEORGIA MOUNTAINS COMMUNITY SERVICES NPI is 1245541192. The provider is registered as an organization entity type.
The provider Is Doing Business As Avita Community Partners.

The provider's business location address is:

5700 FERNSIDE DR
TOCCOA, GA
ZIP 30577-942
Phone: (706) 886-6521
Fax: (678) 513-5836

The provider's authorized official is Karen R Tucker .
The authorized official title is Billing Manager and has the following contact phone number (678) 513-5733.

The enumeration date for this NPI number is 6/25/2010 and was last updated on 6/25/2010.

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	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000666553E	MEDICAID	GEORGIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »