GEORGIA DEPT OF HUMAN RESOURCES NPI 1912910936

NPI Information

NPI: 1912910936
Provider Name: GEORGIA DEPT OF HUMAN RESOURCES

Other Name: CENTRAL CARE COMMUNITY SVS SME

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
170 WOODLAND CIR
VARIOUS OTHER GROUP HOME ADDRESSES
MILLEDGEVILLE, GA
ZIP 31061
Phone: (478) 445-8182
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GEORGIA DEPT OF HUMAN RESOURCES is a community based residential treatment facility, intellectual and/or developmental disabilities in Milledgeville, 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 DEPT OF HUMAN RESOURCES NPI is 1912910936. The provider is registered as an organization entity type.
The provider Other Name Is Central Care Community Svs Sme.

The provider's business location address is:

170 WOODLAND CIR
VARIOUS OTHER GROUP HOME ADDRESSES
MILLEDGEVILLE, GA
ZIP 31061-463
Phone: (478) 445-8182

The provider's authorized official is George Harris .
The authorized official title is Director and has the following contact phone number (478) 445-8182.

The enumeration date for this NPI number is 8/14/2006 and was last updated on 4/9/2009.

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		005-01-026-9	GEORGIA	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	000955578H	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

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