CHESTNUT MANOR INC. NPI 1386921336

NPI Information

NPI: 1386921336
Provider Name: CHESTNUT MANOR, INC.
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
8673 CHESTNUT LN
LITHIA SPRINGS, GA
ZIP 30122
Phone: (770) 920-9369
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CHESTNUT MANOR, INC. is a residential treatment facility emotionally disturbed children in Lithia Springs, GA. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. CHESTNUT MANOR, INC. NPI is 1386921336. The provider is registered as an organization entity type.

The provider's business location address is:

8673 CHESTNUT LN
LITHIA SPRINGS, GA
ZIP 30122-410
Phone: (770) 920-9369

The provider's authorized official is Shirley Napier-brady .
The authorized official title is Executive Director and has the following contact phone number (770) 920-9369.

The enumeration date for this NPI number is 11/4/2011 and was last updated on 11/4/2011.

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	343900000X	Non-emergency Medical Transport (VAN)		12040	GEORGIA	No
2	385HR2060X	Respite Care	Respite Care, Intellectual and/or Developmental Disabilities	12040	GEORGIA	No
3	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		12040	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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