GEORGIA MOUNTAIN COMMUNITY SERVICES (NPI# 1164787743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164787743 |
| Entity Type | Organization |
| Organization Name | GEORGIA MOUNTAIN COMMUNITY SERVICES |
| Other Organization Name | AVITA COMMUNITY PARTNERS |
| Practice Address |
2520 W Dennis Dr Gainesville GA 30507-7495 |
| Mailing Address |
4331 Thurmond Tanner Parkway Flowery Branch GA 30542-2829 |
| Practice Telephone | 6785135720 |
| Practice Fax Number | 6785135836 |
| Mailing Telephone | 6785135720 |
| Mailing Fax Number | 6785135836 |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-07-10 |
| Authorized Official Name | TAMMY THOMPSON (BILLING SPECIALIST) |
| Authorized Official Telephone | 6785135720 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RESIDENTIAL HOME | 000607054BZ | 01 |
| Other Name | Type Code |
|---|---|
| Avita Community Partners | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184989766 | Georgia Mountain Community Services | Day Training, Developmentally Disabled Services | 200 Tomahawk Dr, Clarkesville, GA 30523-3364 | 2012-07-10 |
| 1427313006 | Georgia Mountain Community Services | Day Training, Developmentally Disabled Services | 358 Emory Chambers Rd, Lula, GA 30554-3900 | 2012-07-10 |
| 1902161722 | Georgia Mountain Community Services | Day Training, Developmentally Disabled Services | 603 Shuler Rd, Cleveland, GA 30528-3562 | 2012-07-09 |
| 1619296522 | Georgia Mountain Community Services | Day Training, Developmentally Disabled Services | 108 13th St, Cumming, GA 30040-2208 | 2010-05-18 |
| 1770647463 | Georgia Mountain Community Services | Day Training, Developmentally Disabled Services | 3509 Mabry Rd, Gainesville, GA 30504-5755 | 2006-12-20 |
| 1740343326 | Georgia Mountain Community Services | Day Training, Developmentally Disabled Services | 154 Hart Service Rd, Hartwell, GA 30643-8440 | 2006-12-18 |
| 1710049663 | Georgia Mountain Community Services | Day Training, Developmentally Disabled Services | 451 Roper Dr, Clarkesville, GA 30523-6617 | 2006-12-15 |
| 1306178546 | Georgia Mountain Community Services | Day Training, Developmentally Disabled Services | 4331 Thurmon Tanner Rd, Flowery Branch, GA 30542-2829 | 2010-02-12 |
| Street Address |
2520 W DENNIS DR |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30507-7495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316325525 | Jannet Smith | Case Management | 3407 Belmont Heights Drive, Gainesville, GA 30507 | 2015-05-08 |
| 1134526619 | On-site Rx, Inc | Pharmacy | 2435 Old Cornelia Hwy., Gainesville, GA 30507 | 2014-11-26 |
| 1467766428 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 2912 Evergreen Hollow Drive, Gainesville, GA 30507 | 2010-08-02 |
| 1134341522 | Dorothy A Gabrels | Nurse Practitioner | 2200 Old Hamilton Place Ne, Gainesville, GA 30507 | 2007-05-03 |
| 1386861565 | Jennifer Jean Workman | Registered Nurse | 1280 Athens Street, Gainesville, GA 30507 | 2007-04-19 |
| 1801918750 | Hall County Board of Health | Nurse Practitioner | 1290 Athens Street, Gainesville, GA 30507 | 2007-04-04 |
| 1033101357 | Philip O. Kimsey | Family Medicine | 1292 Athens St, Gainesville, GA 30507 | 2005-08-23 |
| 1619213626 | Georgia Mountain Community Partners | Day Training, Developmentally Disabled Services | 2059 Garden Rd, Gainesville, GA 30507-5019 | 2012-12-19 |
| 1538146113 | Mimbs Drug Co. | Pharmacy | 2415-f Old Cornelia Highway, Gainesville, GA 30507-6901 | 2005-12-27 |
| 1396747705 | Craig Mitchell Inglis | Dentist | 1290 Athens St, Hall County Health Department, Gainesville, GA 30507-7000 | 2005-08-15 |
| Find all providers in zip 30507 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336601665 | Tender Touch Royal Care, LLC | Day Training, Developmentally Disabled Services | 2124 Ne 7th Ter, Gainesville, FL 32609-3772 | 2019-04-04 |
| 1639635436 | Healthbooster Agency LLC | Day Training, Developmentally Disabled Services | 6511 Nw 27th Ter, Gainesville, FL 32653-1518 | 2019-02-17 |
| 1740744051 | Charmian Akins | Day Training, Developmentally Disabled Services | 1715 Ne 8th Ave Apt I4, Gainesville, FL 32641-4765 | 2019-01-31 |
| 1639699705 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 1901 Columns Dr Apt 1901, Gainesville, GA 30504-5954 | 2017-06-21 |
| 1003350117 | Stages of Gainesville | Day Training, Developmentally Disabled Services | 4522 Ne 4th Rd, Gainesville, FL 32641-1977 | 2016-12-08 |
| 1609236447 | Keandra Quarterman | Day Training, Developmentally Disabled Services | 1733 Ne 8th Ave Apt A12, Gainesville, FL 32641-4719 | 2016-03-04 |
| 1588024111 | Exceptional Support Service LLC | Day Training, Developmentally Disabled Services | 244 Sw 121st Way, Gainesville, FL 32607-1184 | 2016-02-24 |
| 1942618632 | Seed & Harvest Support Services LLC | Day Training, Developmentally Disabled Services | 3320 Ne 149th Pl, Gainesville, FL 32609-8832 | 2014-07-26 |
| 1619213626 | Georgia Mountain Community Partners | Day Training, Developmentally Disabled Services | 2059 Garden Rd, Gainesville, GA 30507-5019 | 2012-12-19 |
| 1689972747 | Embrace Group Home | Day Training, Developmentally Disabled Services | 1029 Ne 22nd Ave, Gainesville, FL 32609-3878 | 2011-03-14 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30507 |
Please comment or provide details below to improve the information on GEORGIA MOUNTAIN COMMUNITY SERVICES.
| 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.