MENTAL RETARDATION WAVIER PROGRAM (NPI# 1376738781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376738781 |
Entity Type | Organization |
Organization Name | MENTAL RETARDATION WAVIER PROGRAM |
Practice Address |
9993 Ga Highway 116 Hamilton GA 31811 |
Mailing Address |
2100 Comer Ave Columbus GA 31904-8725 |
Practice Telephone | 7065965583 |
Practice Fax Number | 7065965589 |
Mailing Telephone | 7065965586 |
Enumeration Date | 2007-09-10 |
Last Update Date | 2007-09-13 |
Authorized Official Name | PERRY ALEXANDER (CEO) |
Authorized Official Telephone | 7065965582 |
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 | Residential Treatment Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477748531 | Mental Retardation Wavier Program | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2100 Comer Ave, Columbus, GA 31904-8725 | 2007-09-12 |
1013102177 | Mental Retardation Wavier Program | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2100 Comer Ave, Columbus, GA 31904-8725 | 2007-09-12 |
1386839447 | Mental Retardation Wavier Program | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2100 Comer Ave, Columbus, GA 31904-8725 | 2007-09-12 |
1083809040 | Mental Retardation Wavier Program | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2100 Comer Ave., Columbus, GA 31904 | 2007-09-12 |
1245425529 | Mental Retardation Wavier Program | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Highway 27 South, Lumpkin, GA 31815 | 2007-09-11 |
1639364045 | Mental Retardation Wavier Program | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2100 Comer Ave, Columbus, GA 31904-8725 | 2007-09-10 |
Street Address |
9993 GA HIGHWAY 116 |
City | HAMILTON |
State | GA |
Zip Code | 31811 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083788640 | Harris County Board of Education | Speech-Language Pathologist | 132 Barnes Mill Road, Hamilton, GA 31811 | 2006-11-17 |
1881780799 | Harris County Commissioner of Roads & Revenues | Ambulance | 9907 Hwy 116, Hamilton, GA 31811 | 2006-10-05 |
1992732093 | Harris County Board of Health | Public Health or Welfare | 210 Foresthill Drive, Hamilton, GA 31811 | 2006-06-26 |
1073770046 | Alan Bennett Miller | Emergency Medicine | 153 S College St, Hamilton, GA 31811 | 2008-05-19 |
1609952589 | George Alexander Garrett | Optometrist | 121 Dogwood Lane, Hamilton, GA 31811-0589 | 2006-10-31 |
1174892442 | Roger Leon O'bryan | Family Medicine | 1792 Quail Hollow Dr, Hamilton, GA 31811-3411 | 2011-12-15 |
1336269208 | William Wilson | Ophthalmology | 415 Lakewood Dr, Hamilton, GA 31811-3636 | 2007-04-02 |
1447368238 | Michael Scott | Radiology | 180 Old House Rd, Hamilton, GA 31811-4018 | 2006-08-29 |
1043583339 | Tomekia Yolanda Hinton | Licensed Practical Nurse | 139 Maddox Rd, Hamilton, GA 31811-4314 | 2012-02-16 |
1427531268 | Robert Burney II | Neurological Surgery | 101 Lakeview Dr, Hamilton, GA 31811-4365 | 2018-09-07 |
Find all providers in zip 31811 |
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 |
---|---|---|---|---|
1164891511 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Mcadoo Ave, Hamilton, NJ 08619-1752 | 2015-09-16 |
1902288525 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 725 Kuser Rd Apt E4, Hamilton, NJ 08619-3962 | 2015-06-19 |
1346621307 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 423 Wilfred Ave, Hamilton, NJ 08610-5018 | 2015-06-16 |
1801277728 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 675 Kuser Rd Apt D4, Hamilton, NJ 08619-3960 | 2015-06-16 |
1174904098 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 725 Kuser Rd Apt E6, Hamilton, NJ 08619-3962 | 2015-06-16 |
1619358538 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 765 Kuser Rd Apt G2, Hamilton, NJ 08619-3964 | 2015-06-16 |
1144601337 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 675 Kuser Rd Apt C5, Hamilton, NJ 08619-3960 | 2015-06-12 |
1518347244 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 161 Wert Ave, Apt. A, Hamilton, NJ 08610-4517 | 2015-06-08 |
1053791798 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 331 Redfern St, Hamilton, NJ 08610-5319 | 2015-06-08 |
1073993242 | National Mentor Healthcare, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1390 Route 33, Hamilton, NJ 08690-1702 | 2015-06-03 |
Find all providers in HAMILTON |
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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.