DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES (NPI# 1033345079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033345079 |
| Entity Type | Organization |
| Organization Name | DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES |
| Other Organization Name | WEST CENTRAL BEHAVIORAL HEALTH HUB - INTENSIVE TREATMENT RES. (MALE) |
| Practice Address |
6126 Arnold Dr Columbus GA 31907-1904 |
| Practice Telephone | 7065685118 |
| Mailing Telephone | 7065685118 |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | MR. RICK GARCIA (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 7065685118 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | GA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| West Central Behavioral Health Hub - Intensive Treatment Res. (Male) | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861505430 | Department of Behavioral Health and Developmental Disabilities | Pharmacy | 325 Lawrence Rd, Central State Hospital, Milledgeville, GA 31062-7525 | 2006-08-16 |
| 1356351217 | Department of Behavioral Health and Developmental Disabilities | Clinic/Center | 6126 Arnold Dr, Columbus, GA 31907-1904 | 2006-08-09 |
| 1558371492 | Department of Behavioral Health and Developmental Disabilities | Clinic/Center | 4916 Lapaloma Dr, Columbus, GA 31907-2741 | 2006-08-09 |
| 1093046005 | Department of Behavioral Health and Developmental Disabilities | Psychiatric Hospital | 3405 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2010-01-15 |
| 1992036909 | Department of Behavioral Health and Developmental Disabilities | Pharmacy | 100 Myrtle Blvd, Gracewood, GA 30812-1500 | 2010-01-15 |
| 1699000703 | Department of Behavioral Health and Developmental Disabilities | Intermediate Care Facility, Mentally Retarded | 100 Myrtle Blvd, Gracewood, GA 30812-1500 | 2009-10-07 |
| 1053646166 | Department of Behavioral Health and Developmental Disabilities | Skilled Nursing Facility | 100 Myrtle Blvd, Gracewood, GA 30812-1500 | 2009-10-07 |
| 1124254941 | Department of Behavioral Health and Developmental Disabilities | Psychiatric Hospital | 3073 Panthersville Rd, Decatur, GA 30034-3828 | 2009-06-08 |
| 1053547067 | Department of Behavioral Health and Developmental Disabilities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4916 Lapaloma Dr, Columbus, GA 31907-2741 | 2009-06-04 |
| 1760617229 | Department of Behavioral Health and Developmental Disabilities | Psychiatric Hospital | 705 N Division St Nw, Rome, GA 30165-1454 | 2009-05-27 |
| Street Address |
6126 ARNOLD DR |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31907-1904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356351217 | Department of Behavioral Health and Developmental Disabilities | Clinic/Center | 6126 Arnold Dr, Columbus, GA 31907-1904 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702051 | At Ease Private Home Care, LLC | Home Health | 3906 Pond View Court, Columbus, GA 31907 | 2020-05-20 |
| 1285268219 | Mh 102, PC | Nurse Practitioner | 1 Aflac Parkway, Columbus, GA 31907 | 2020-02-28 |
| 1427602978 | Alicia Keeshan Taylor | Massage Therapist | 5401 Gunboat Dr Unit 31, Columbus, GA 31907 | 2019-08-01 |
| 1285101071 | Valerie Rena Bickham | Chore Provider | 1259 Bismarck Drive, Columbus, GA 31907 | 2018-10-30 |
| 1629555172 | West Georgia Regenerative Medicine LLC | Physical Therapist | 3624 Edgewood Rd Ste B, Columbus, GA 31907 | 2018-07-26 |
| 1659866747 | Transitional Independence, LLC | In Home Supportive Care | 5633 Lexington Dr, Columbus, GA 31907 | 2018-06-29 |
| 1598285892 | Aa Personal Care, LLC | Nursing Care | 547 Moye Rd, Columbus, GA 31907 | 2017-06-27 |
| 1366981573 | Sabrina Renae Crosby Lopes | Counselor | 1120 21st Unit -a, Columbus, GA 31907 | 2017-02-21 |
| 1326445073 | Angela James | Nurse Practitioner | 6400 Flatrock Road, Columbus, GA 31907 | 2014-11-24 |
| 1841617255 | Sabrina Ann Patterson | Community Health Worker | 2726 Courtland, Columbus, GA 31907 | 2014-03-24 |
| Find all providers in zip 31907 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629680418 | Catapillars To Butterflies, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5900 Sharon Woods Blvd Ste D, Columbus, OH 43229-2600 | 2020-08-21 |
| 1720559420 | Secure Haven Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4295 Braunton Rd, Columbus, OH 43220-4301 | 2018-12-06 |
| 1851882617 | Cg-hhc, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 200 Civic Center Dr Ste 1200, Columbus, OH 43215-4234 | 2018-05-28 |
| 1659882256 | Heinzerling Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1605 Heinzerling Drive, Columbus, OH 43223 | 2017-10-23 |
| 1679084271 | Heinzerling Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1625 Heinzerling Drive, Columbus, OH 43223 | 2017-10-23 |
| 1902286693 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1182 Hedding Rd, Columbus, NJ 08022 | 2015-06-08 |
| 1356658918 | Jireh Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3509 Refugee Rd, Columbus, OH 43232-4830 | 2010-09-02 |
| 1902077258 | Viaquest Healthcare Central | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5314 Redwood Rd, Columbus, OH 43229-4441 | 2008-03-14 |
| 1750576807 | Mental Retardation Waiver Program Muscogee | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2401 Buena Vista Rd, Columbus, GA 31906-3142 | 2007-09-12 |
| 1851507180 | Heinzerling Developmental Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1755 Heinzerling Dr, Columbus, OH 43223-3672 | 2007-05-15 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.