DELROY THOMAS


Address: 8099 Revere Dr, Mcdonough, GA 30252-8924
Phone: 4045433823

DELROY THOMAS (NPI# 1225453079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225453079
Entity Type Individual
Full Name DELROY THOMAS
Credential PTA
Practice Address 8099 Revere Dr
Mcdonough
GA 30252-8924
Practice Telephone 4045433823
Mailing Telephone 4045433823
Enumeration Date 2014-03-03
Last Update Date 2014-03-03
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320700000X Residential Treatment Facility, Physical Disabilities PTA001826 GA Residential Treatment Facilities

Office Location

Street Address 8099 REVERE DR
City MCDONOUGH
State GA
Zip Code 30252-8924

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073114427 Publix Super Markets, Inc Durable Medical Equipment & Medical Supplies 3479 Highway 81 East, Mcdonough, GA 30252 2020-11-03
1770143547 Kevin Kirk Anderson Physical Therapist Dr. Kevin Anderson, 196 Lake Dow Rd, Mcdonough, GA 30252 2019-06-14
1912474537 Atlanta Neuromonitoring, LLC Psychiatry & Neurology 922 Highway 81 East # 242, Mcdonough, GA 30252 2018-11-01
1194271320 Christine Williams Breeden Registered Nurse 189 Irwin Drive, Mcdonough, GA 30252 2016-08-28
1518322395 Jaquita Shorts Counselor 1705 Pennslyvania Ave, Mcdonough, GA 30252 2015-12-22
1356758973 Keisha Candies Counselor 125 Zack Hinton Pkwy, Mcdonough, GA 30252 2014-07-15
1093145666 Ceisha Shador Parks Counselor 6040 Winston Trace, Mcdonough, GA 30252 2013-11-19
1588939565 Tasha E Jones Counselor 1509 Bent River Cir, Mcdonough, GA 30252 2012-03-09
1598049447 Proactive Rehab, Inc Physical Therapist 50 Lawrenceville Street, Suite 100, Mcdonough, GA 30252 2011-10-10
1164706131 Michelle Lee Cone Pharmacist 1210 Bent Creek Dr, Mcdonough, GA 30252 2011-10-07
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Taxonomy Information

Taxonomy Code 320700000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Physical Disabilities

Taxonomy Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1619403805 Quencie's Manor LLC Residential Treatment Facility, Physical Disabilities 2104 Jeffersonville Rd, Macon, GA 31217-4517 2017-05-07
1114452620 Training On The Move Residential Treatment Facility, Physical Disabilities 619 Hampton St, Hinesville, GA 31313-3535 2017-04-23
1780122010 Pugh's Personal Care Home Residential Treatment Facility, Physical Disabilities 5834 St Matthews St John Church Rd, Donalsonville, GA 39845-3550 2017-02-07
1730621756 Innovative Solutions Personal Care Home Residential Treatment Facility, Physical Disabilities 569 Phyllis Cir, Camilla, GA 31730-6438 2016-11-08
1285029884 Hhsrc Neuromuscular Residential Treatment Facility, Physical Disabilities 5474 Oakley Industrial Blvd, Apt. 1032, Fairburn, GA 30213-4455 2015-03-31
1255723813 Cotter Personal Care Home LLC Residential Treatment Facility, Physical Disabilities 5146 Cotter Dr, Union City, GA 30291-1812 2015-02-19
1770996001 Reaves Home Care Services Residential Treatment Facility, Physical Disabilities 2502 Trees of Kennesaw Pkwy Nw, Kennesaw, GA 30152-8220 2014-06-04
1134564131 Panola Care, Cla Residential Treatment Facility, Physical Disabilities 3169 Pequea Dr, Lithonia, GA 30038-1119 2013-05-03
1235490095 Apfa Residential Treatment Facility, Physical Disabilities 4776 Ben Hill Rd, Douglasville, GA 30134-4213 2012-06-07
1326307059 Travelers Care Nursing Agency Residential Treatment Facility, Physical Disabilities 2802 Tree Summit Pkwy, Duluth, GA 30096-7932 2012-05-15
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Competitor

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City MCDONOUGH
Zip Code 30252

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Dataset Information

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.

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