MENTAL RETARDATION WAVIER PROGRAM


Address: 9993 Ga Highway 116, Hamilton, GA 31811
Phone: 7065965583

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).

Provider Overview

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

Taxonomy

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

Other Provider IDs and Locations

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

Office Location

Street Address 9993 GA HIGHWAY 116
City HAMILTON
State GA
Zip Code 31811

Providers in the same zip code

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 Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City HAMILTON
Zip Code 31811

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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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