REGINA SIMS (NPI# 1144668674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144668674 |
| Entity Type | Individual |
| Full Name | REGINA SIMS |
| Practice Address |
4072 Bath Edie Rd Blythe GA 30805-3600 |
| Mailing Address |
3421 Mike Padgett Hwy Augusta GA 30906-3815 |
| Practice Telephone | 7068364766 |
| Mailing Telephone | 7064327893 |
| Mailing Fax Number | 7064323780 |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2013-06-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000606317B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750531737 | Regina Ro Sims | Chiropractor | 2406 Main St, Waller, TX 77484-8582 | 2008-09-25 |
| 1528394699 | Regina Calmayne Sims | Counselor | 20303 Kelly Rd, Detroit, MI 48225-1206 | 2009-10-26 |
| Street Address |
4072 BATH EDIE RD |
| City | BLYTHE |
| State | GA |
| Zip Code | 30805-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689945909 | Csb of East Central Georgia | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4054 Bath Edie Rd, Blythe, GA 30805-3600 | 2012-01-18 |
| 1356520696 | Sandra Arlene Adams | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4064 Bath Edie Rd, Blythe, GA 30805-3600 | 2007-11-02 |
| 1043541709 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4064 Bath Edie Rd, Blythe, GA 30805-3600 | 2010-01-20 |
| 1912210501 | Hill's House | Assisted Living Facility | 3649 Highway 88, Blythe, GA 30805-3620 | 2010-07-23 |
| 1356717797 | Erica R. Griffin LLC | Counselor | 561 Poole Melton Rd, Blythe, GA 30805-3813 | 2015-08-20 |
| 1043878721 | Keysville Ltc Management LLC | Skilled Nursing Facility | 1005 Ga Highway 88, Blythe, GA 30805-3911 | 2019-05-29 |
| 1831453604 | Michael Thomas Cavender | Family Medicine | 300 East Hospital Road, Dwight David Eisenhower Army Medical Center, Fort Gordon, GA 30805-5650 | 2012-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003436940 | County of Riverside | Community/Behavioral Health | 1225 W Hobsonway, Blythe, CA 92225-1423 | 2020-04-21 |
| 1356976179 | Corrections and Rehabilitation | Pharmacy | 19005 Wileys Well Road, Blythe, CA 92225 | 2020-03-12 |
| 1982250650 | Brighter Path Recovery Center LLC | Clinic/Center | 286 E Hobsonway, Blythe, CA 92225-1731 | 2019-08-17 |
| 1043878721 | Keysville Ltc Management LLC | Skilled Nursing Facility | 1005 Ga Highway 88, Blythe, GA 30805-3911 | 2019-05-29 |
| 1316407141 | Jennifer Cherie Han-rivas | Speech-Language Pathologist | 208 W Hobsonway, Blythe, CA 92225-1619 | 2019-03-20 |
| 1477025484 | Sayed N Ally | Pharmacist | 616 E Hobsonway, Blythe, CA 92225-1739 | 2019-01-02 |
| 1164994554 | Anna Rangel | Behavior Technician | 15033 S Lovekin Blvd, Blythe, CA 92225-9444 | 2018-12-22 |
| 1760957435 | V & E Management and Consulting | Transportation Broker | 159 N 1st St, Blythe, CA 92225-1701 | 2018-10-09 |
| 1235624081 | Tiffany Elaine Wade | Dentist | 146 S Broadway, Blythe, CA 92225-2502 | 2018-06-25 |
| 1215429170 | Lilja Susan Whiting | Case Manager/Care Coordinator | 240 N Broadway, Blythe, CA 92225-1609 | 2018-06-05 |
| Find all providers in BLYTHE | ||||
| 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 |
|---|---|---|---|---|
| 1790385862 | Hickory Log Vocational School Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3680 Highway 411 Ne, White, GA 30184-2427 | 2020-10-28 |
| 1801403050 | Safe Haven Personal Care Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10875 Abercorn St Apt 132, Savannah, GA 31419-1843 | 2020-09-30 |
| 1659987931 | Pinkies Place | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 216 Self St, Warner Robins, GA 31088-5506 | 2020-09-22 |
| 1629680293 | Caregiver Ga, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3736 Executive Center Dr Ste B, Augusta, GA 30907-2360 | 2020-08-17 |
| 1730799073 | Victory Won Counseling and Res Care Prof. Corp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5014 Snapfinger Woods Dr, Decatur, GA 30035-4003 | 2020-08-02 |
| 1811528649 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 211 North Street, Douglas, GA 31533 | 2020-01-30 |
| 1619519709 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 516 Freedom Trl, Brunswick, GA 31525-4712 | 2019-10-10 |
| 1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
| 1467013821 | Csb of East Central Ga | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5101 Parnell Way, Martinez, GA 30907-8896 | 2019-06-26 |
| 1013474915 | Community Service Board of East Central Georgia | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1715 Lawerence Rd, Hephzibah, GA 30815-4445 | 2019-02-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on REGINA SIMS.
| 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.