THE HAMPTON HOUSE FACILITY, LLC (NPI# 1467868620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467868620 |
| Entity Type | Organization |
| Organization Name | THE HAMPTON HOUSE FACILITY, LLC |
| Practice Address |
432 S Fourth St Colbert GA 30628-3320 |
| Mailing Address |
Po Box 456 Colbert GA 30628-0456 |
| Practice Telephone | 7067883400 |
| Practice Fax Number | 7067883400 |
| Mailing Telephone | 7067883400 |
| Mailing Fax Number | 7067883400 |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |
| Authorized Official Name | MR. ROBERT STRICKLAND III (OWNER) |
| Authorized Official Telephone | 7067883400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
095-01-022-1 | GA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | DEPARTMENT OF COMMUNITY HEALTH | 095-01-022-1 | 01 |
| Street Address |
432 S FOURTH ST |
| City | COLBERT |
| State | GA |
| Zip Code | 30628-3320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326173956 | Jonathan Marc Perry | Pharmacist | 15 Colbert Business Parkway, Fred's Pharmacy #1394, Colbert, GA 30628 | 2007-02-22 |
| 1366938086 | Preston Gantt, Md, Sa-c | Surgery | 191 Valley Rd, Colbert, GA 30628 | 2018-07-05 |
| 1902304538 | Preston Gantt | Surgery | 191 Valley Rd, Colbert, GA 30628 | 2018-01-29 |
| 1972897700 | Akilah S Tomingas | Pediatrics | 11 Charlie Morris Rd, Colbert, GA 30628 | 2011-06-09 |
| 1851680938 | Kelly Pascual Montgomery | Pediatrics | 11 Charlie Morris Rd, Colbert, GA 30628 | 2011-03-29 |
| 1134559958 | Manuel Garcia-gaona | Physical Therapist | 19 Dogwood Dr, Colbert, GA 30628-1512 | 2013-11-14 |
| 1720353675 | Innovative Medical Group | Durable Medical Equipment & Medical Supplies | 232 Jeremy Dr, Colbert, GA 30628-1543 | 2012-03-11 |
| 1154399152 | Amanda Griffin Wagner | Psychologist | 11 Charlie Morris Rd Bldg 2, Colbert, GA 30628-2445 | 2006-03-08 |
| 1588642771 | Nicole Ford | Nurse Practitioner | 11 Charlie Morris Rd, Colbert, GA 30628-2445 | 2006-01-06 |
| 1477176600 | Dallas Louis | Nurse Practitioner | 11 Charlie Morris Rd, Colbert, GA 30628-2445 | 2020-05-21 |
| Find all providers in zip 30628 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235695453 | Deborah Kaye Hunt | Custodial Care Facility | 227 E Midway Rd, Colbert, WA 99005-9206 | 2019-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174437 | United Hands Support Services | Custodial Care Facility | 735 Ridge Rd, Canton, GA 30114-4170 | 2020-11-06 |
| 1679174429 | Golden Peak Senior Living Corp | Custodial Care Facility | 411 Edmond St, Calhoun, GA 30701-5334 | 2020-11-06 |
| 1023615531 | Lillian Womble | Custodial Care Facility | 3232 Union Church Road, Warthen, GA 31094 | 2020-10-07 |
| 1750995155 | Jacqueline Dingle | Custodial Care Facility | 604 Sugarbush Cir, Savannah, GA 31406-4434 | 2020-09-02 |
| 1114549763 | Idella's Angels | Custodial Care Facility | 270 13th Ave Sw, Cairo, GA 39828-3423 | 2020-05-16 |
| 1356962062 | Brendas Love Personal Care Home LLC | Custodial Care Facility | 8239 Queens Dr, Jonesboro, GA 30238-2946 | 2020-05-04 |
| 1801421094 | Lj's Personal Care Home, LLC | Custodial Care Facility | 415 E 18th St Sw, Rome, GA 30161-6544 | 2020-03-08 |
| 1356984041 | Manuel Carl Mckenzie IIi | Custodial Care Facility | 4893 Candlewood Ln, Stone Mountain, GA 30088-1605 | 2019-10-24 |
| 1457904310 | Renaissance Healthcare LLC | Custodial Care Facility | 419 Airport Rd, Griffin, GA 30224-4834 | 2019-07-19 |
| 1225697873 | Tahirah Johnston | Custodial Care Facility | 1657 Hallmark Hills Dr, Griffin, GA 30223-8790 | 2019-06-07 |
| Find all providers with the same taxonomy | ||||
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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.