NW GA REGIONAL HOSPITAL ICF MR (NPI# 1437223914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437223914 |
| Entity Type | Organization |
| Organization Name | NW GA REGIONAL HOSPITAL ICF MR |
| Other Organization Name | STATE OF GEORGIA |
| Practice Address |
1305 Redmond Cir Nw Rome GA 30165-1345 |
| Practice Telephone | 7062956298 |
| Practice Fax Number | 7068025400 |
| Mailing Telephone | 7062956298 |
| Mailing Fax Number | 7068025400 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2008-01-29 |
| Authorized Official Name | TAMMY VAUGHN (PATIENT ACCOUNTS OFFICER) |
| Authorized Official Telephone | 7062956298 |
| Is Organization Subpart | Y |
| Parent Organization Name | STATE OF GEORGIA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| State of Georgia | Doing Business As Name - Organization |
| Street Address |
1305 REDMOND CIR NW |
| City | ROME |
| State | GA |
| Zip Code | 30165-1345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487654539 | Catherine W Marrs | Registered Nurse | 1305 Redmond Cir Nw, Bldg. 614, Rome, GA 30165-1345 | 2005-07-29 |
| 1205959996 | Nw Ga Regional Hospital | Community/Behavioral Health | 1305 Redmond Cir Nw, Rome, GA 30165-1345 | 2007-04-09 |
| 1114040805 | Nw Ga Regional Hospital | Clinical Medical Laboratory | 1305 Redmond Cir Nw, Rome, GA 30165-1345 | 2007-04-09 |
| 1174686620 | Highland Rivers Center, Csb | Community/Behavioral Health | 1305 Redmond Cir Nw, House # 1114, Rome, GA 30165-1345 | 2006-12-18 |
| 1093749772 | Joseph E Rowland | Dentist | 1305 Redmond Cir Nw, Building 103 - Clinical Director's Office, Rome, GA 30165-1345 | 2006-07-10 |
| 1841224581 | Satishchandra V Patel | Psychiatry & Neurology | 1305 Redmond Cir Nw, Building 103 - Clinical Director's Office, Rome, GA 30165-1345 | 2006-07-10 |
| 1902830672 | Susan E Queen | Psychiatry & Neurology | 1305 Redmond Cir Nw, Building 103 - Clinical Director's Office, Rome, GA 30165-1345 | 2006-07-10 |
| 1205868114 | Joseph J Mangraviti | General Practice | 1305 Redmond Cir Nw, Building 103 - Clinical Director's Office, Rome, GA 30165-1345 | 2006-07-07 |
| 1801826128 | Thomas W Muller | Psychiatry & Neurology | 1305 Redmond Cir Nw, Building 103 - Clinical Director's Office, Rome, GA 30165-1345 | 2006-07-03 |
| 1811927163 | Nicolas Sanchez | Psychiatry & Neurology | 1305 Redmond Cir Nw, Building 103 - Clinical Director's Office, Rome, GA 30165-1345 | 2006-07-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
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| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851442784 | Upstate Cerebral Palsy, Inc. | Intermediate Care Facility, Mentally Retarded | 92 Geiger Road, Rome, NY 13441-4319 | 2007-01-16 |
| 1871654863 | Upstate Cerebral Palsy, Inc | Intermediate Care Facility, Mentally Retarded | 120 Brookley Road, Crp #5, Rome, NY 13341 | 2006-12-13 |
| 1780745778 | Upstate Cerebral Palsy, Inc | Intermediate Care Facility, Mentally Retarded | 122 Brookley Road, Crp #6, Rome, NY 13341 | 2006-12-13 |
| 1316008311 | Upstate Cerebral Palsy, Inc | Intermediate Care Facility, Mentally Retarded | 124 Brookley Road, Crp #7, Rome, NY 13441 | 2006-12-13 |
| 1609937697 | Upstate Cerebral Palsy, Inc | Intermediate Care Facility, Mentally Retarded | 126 Brookley Road, Rome, NY 13441-0000 | 2006-12-13 |
| 1922148238 | State of New York | Intermediate Care Facility, Mentally Retarded | 801 Cypress St, Rome, NY 13440-2129 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326586744 | Hand-n-hand PCh Inc. | Intermediate Care Facility, Mentally Retarded | 125 Janette Ln, Moultrie, GA 31788-7837 | 2017-02-06 |
| 1902232598 | Enable of Georgia, Inc. | Intermediate Care Facility, Mentally Retarded | 1200 Old Ellis Rd, Roswell, GA 30076-3850 | 2013-09-16 |
| 1326392432 | Extending Community Services Foundation | Intermediate Care Facility, Mentally Retarded | 3630 Emerald Pt, Decatur, GA 30034-5739 | 2012-10-29 |
| 1639441421 | Smith Personal Care Home 1and 2 Inc | Intermediate Care Facility, Mentally Retarded | 309 Advance St, Swainsboro, GA 30401-3675 | 2012-02-08 |
| 1609146109 | Rainbow Ridge#2,inc. | Intermediate Care Facility, Mentally Retarded | 181 Rainbow Rdg, Swainsboro, GA 30401-4413 | 2011-12-31 |
| 1427336346 | Tranquility PCh, LLC | Intermediate Care Facility, Mentally Retarded | 3440 Rainbow Dr, Decatur, GA 30034-1807 | 2011-07-26 |
| 1225358856 | 'a' Helping Hand, Inc. | Intermediate Care Facility, Mentally Retarded | 439 Watson Bay, Stone Mountain, GA 30087-6195 | 2010-06-05 |
| 1427378058 | Precious Living Incorporated | Intermediate Care Facility, Mentally Retarded | 448 Registry Blf, Stone Mountain, GA 30087-6602 | 2010-06-05 |
| 1720318843 | Allgood Manor Assistant Home Inc. | Intermediate Care Facility, Mentally Retarded | 6358 Deshong Dr, Lithonia, GA 30058-6123 | 2010-01-12 |
| 1275863383 | Bryana Personal Care Home | Intermediate Care Facility, Mentally Retarded | 6276 Field Glen Rd, Stone Mountain, GA 30087-4911 | 2010-01-12 |
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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.