AVALONIA GROUP HOMES, INC. (NPI# 1073699617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073699617 |
| Entity Type | Organization |
| Organization Name | AVALONIA GROUP HOMES, INC. |
| Practice Address |
213 Hart Cut Rd Marietta SC 29661-9687 |
| Mailing Address |
Po Box 699 Marietta SC 29661-0699 |
| Practice Telephone | 8648367220 |
| Practice Fax Number | 8642941774 |
| Mailing Telephone | 8648367220 |
| Mailing Fax Number | 8642941774 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2009-01-12 |
| Authorized Official Name | MR. JOHN M. SHORT (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8648367220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | SR-0008124001-CC | SC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 993MXH | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508017476 | Avalonia Group Homes, Inc. | Psychiatric Residential Treatment Facility | 404 Hampton Ave, Pickens, SC 29671-2608 | 2008-10-09 |
| 1558881524 | Avalonia Group Homes, Inc. | Family Medicine | 404 Hampton Ave, Pickens, SC 29671-2608 | 2017-06-21 |
| Street Address |
213 HART CUT RD |
| City | MARIETTA |
| State | SC |
| Zip Code | 29661-9687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821363094 | Kellie P Vernon | Massage Therapist | 275 Wildazalea Lane, Marietta, SC 29661 | 2012-03-20 |
| 1649470428 | James E Barnett | Family Medicine | 207 Pumpkintown Road, Marietta, SC 29661 | 2007-07-20 |
| 1952475949 | Dr Byron K. Bridges Dds Pa | Dentist | 3037 Geer Hwy, Marietta, SC 29661 | 2006-11-20 |
| 1750476875 | Happy Hooves, Inc. | Occupational Therapist | 4700 Dacusville Highway, Marietta, SC 29661 | 2006-10-04 |
| 1659385078 | Vassar C.livengood | Pharmacist | 101 Pumpkintown Rd, Marietta, SC 29661 | 2006-07-28 |
| 1285989111 | Justin Degarmo | Dentist | 3037 Geer Hwy, Marietta, SC 29661 | 2012-07-17 |
| 1376197335 | Nicole I Crawford | Nurse Practitioner | 868 Cedar Rd, Marietta, SC 29661-9006 | 2019-07-29 |
| 1760543524 | Valley of Youth | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 352 Spring Park Rd, Marietta, SC 29661-9229 | 2006-12-13 |
| 1447219696 | Mpi Management, Inc | Skilled Nursing Facility | 2906 Geer Hwy, Marietta, SC 29661-9517 | 2006-03-17 |
| 1386113801 | Sc-ga2018 River Falls Rehabilitation and Healthcare Center, LLC | Skilled Nursing Facility | 2906 Geer Hwy, Marietta, SC 29661-9517 | 2018-11-14 |
| Find all providers in zip 29661 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235797812 | Wise Care Services, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 1435 Deberry Blvd, Florence, SC 29501-5601 | 2019-05-30 |
| 1366937021 | Doors To Freedom | Residential Treatment Facility, Emotionally Disturbed Children | 1317m N Main St # 263, Summerville, SC 29483-7307 | 2018-06-26 |
| 1205297967 | Potter's House Palmetto, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 104 E Berry St, Lincolnville, SC 29485-7204 | 2016-03-09 |
| 1710342522 | New Directions | Residential Treatment Facility, Emotionally Disturbed Children | 3685 Travertine Dr, Lancaster, SC 29720-6934 | 2015-12-21 |
| 1609219906 | Billie Hardee Home for Boys | Residential Treatment Facility, Emotionally Disturbed Children | 1120 Timmonsville Hwy, Darlington, SC 29532-9998 | 2013-04-17 |
| 1205175452 | S.c Department of Juvenile Justice | Residential Treatment Facility, Emotionally Disturbed Children | 2112 Chandler Ave, Columbia, SC 29210-6204 | 2013-02-07 |
| 1477820504 | Cherokee Creek Boys School | Residential Treatment Facility, Emotionally Disturbed Children | 198 Cooper Rd, Westminster, SC 29693-3309 | 2011-11-17 |
| 1124260427 | Broadstep Academy-sc, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1370 N Williamsburg County Hwy, Kingstree, SC 29556-7027 | 2009-04-01 |
| 1235325242 | New Beginnings of Charleston Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 716 W Front St, Lincolnville, SC 29485-7112 | 2007-09-24 |
| 1639399553 | Orangeburg Attention Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 155 Wall St Rm 16, Orangeburg, SC 29115-5404 | 2007-04-26 |
| Find all providers with the same taxonomy | ||||
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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.