SHABRIEL WILLIS


Address: 2401 Buena Vista Rd, Columbus, GA 31906-3142
Phone: 7063237244

SHABRIEL WILLIS (NPI# 1477189918) 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) 1477189918
Entity Type Individual
Full Name SHABRIEL WILLIS
Practice Address 2401 Buena Vista Rd
Columbus
GA 31906-3142
Practice Telephone 7063237244
Enumeration Date 2020-03-17
Last Update Date 2020-03-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251C00000X Day Training, Developmentally Disabled Services Agencies

Office Location

Street Address 2401 BUENA VISTA RD
City COLUMBUS
State GA
Zip Code 31906-3142

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750576807 Mental Retardation Waiver Program Muscogee Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2401 Buena Vista Rd, Columbus, GA 31906-3142 2007-09-12
1457987711 Justin Stafford Community Health Worker 2401 Buena Vista Rd, Columbus, GA 31906-3142 2020-03-19
1306488903 Justin Ormond Harper Day Training, Developmentally Disabled Services 2401 Buena Vista Rd, Columbus, GA 31906-3142 2019-10-15
1053953653 Latoya Williams Day Training, Developmentally Disabled Services 2401 Buena Vista Rd, Columbus, GA 31906-3142 2019-10-15
1629532676 Terrence Christie Day Training, Developmentally Disabled Services 2401 Buena Vista Rd, Columbus, GA 31906-3142 2019-01-24
1013485408 Gregory Lewis Day Training, Developmentally Disabled Services 2401 Buena Vista Rd, Columbus, GA 31906-3142 2018-11-05
1538652706 Curtis Bernard Thomas Day Training, Developmentally Disabled Services 2401 Buena Vista Rd, Columbus, GA 31906-3142 2018-06-12
1114433547 Adrian Lamar Zimon Day Training, Developmentally Disabled Services 2401 Buena Vista Rd, Columbus, GA 31906-3142 2017-12-21
1386150712 Derrick Gause Day Training, Developmentally Disabled Services 2401 Buena Vista Rd, Columbus, GA 31906-3142 2017-12-21
1780108274 Dennis Lewis Wright Community Health Worker 2401 Buena Vista Rd, Columbus, GA 31906-3142 2017-07-27
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548778939 Kamisha Latonya Byrd Jr. Home Health 901joy Rd Lot B1, Columbus, GA 31906 2018-01-19
1093180234 Conchetta Perry Nurse Practitioner 1711 Buena Vista Road Suite #2, Columbus, GA 31906 2015-12-13
1972910586 Felicia Murphy Nurse's Aide 5619 Teresa, Columbus, GA 31906 2014-07-15
1932526340 Waytika Glover Community Health Worker 1719 Shepard Dr, Columbus, GA 31906 2014-03-24
1376973941 Laura Kaye Thomas Counselor 2100 Cormer Ave, Columbus, GA 31906 2013-11-19
1831528876 Mosco Davis In Home Supportive Care 2202 Francis St.., Columbus, GA 31906 2013-11-08
1104153451 Project Rebound Inc. Social Worker 1170 Brown Ave Street B, Columbus, GA 31906 2009-11-06
1982865499 Cheryl Denise Freeman-jackson Dentist 2206 Francis St, Columbus, GA 31906 2008-06-18
1366652083 Leroy Livingstone Boatswain Social Worker 919 Lawyers Lane, Columbus, GA 31906 2007-05-23
1023127222 Chikkanayak B Lokesh Psychiatry & Neurology 1310 13 Th Avenue, Va Cboc Clinic, Columbus, GA 31906 2006-08-30
Find all providers in zip 31906

Taxonomy Information

Taxonomy Code 251C00000X
Grouping Agencies
Classification Day Training, Developmentally Disabled Services

Taxonomy Definition

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184239774 Jennifer Crayton Day Training, Developmentally Disabled Services 1989 Sharbot Dr, Columbus, OH 43229-5726 2020-09-10
1457962797 Southeastern Support Care Services LLC Day Training, Developmentally Disabled Services 3523 Fuller St, Columbus, GA 31907-2554 2020-08-11
1659993517 Audrey Lynn Susz Day Training, Developmentally Disabled Services 3022 Saint John Ct Apt 1, Columbus, OH 43202-1819 2020-05-14
1497308357 Sunshine Adult Daycare and Transportation Day Training, Developmentally Disabled Services 5163 Sinclair Rd, Columbus, OH 43229-5413 2019-07-19
1427514918 Alpha & Omega Supported Living Agency, LLC Day Training, Developmentally Disabled Services 2236 S Hamilton Rd Ste 104, Columbus, OH 43232-4381 2019-02-20
1700371911 Central Ohio Life Care Center LLC Day Training, Developmentally Disabled Services 1150 Morse Rd Ste 110, Columbus, OH 43229-6327 2018-06-29
1922512920 Joseph Robert Malone Day Training, Developmentally Disabled Services 4545 Collingwood Pointe Pl, Columbus, OH 43230-8446 2017-11-29
1285160713 Arc Industries Inc of Franklin County Ohio Day Training, Developmentally Disabled Services 2300 Marilyn Ln, Columbus, OH 43219-1792 2017-05-03
1104350339 Hmsb Group of Companies Day Training, Developmentally Disabled Services 4510 Dundee Ave, Columbus, OH 43227-2416 2017-04-14
1174068332 Rena Hall Day Training, Developmentally Disabled Services 5211 Argonne Dr, Columbus, GA 31907-6702 2016-12-27
Find all providers in COLUMBUS

Competitor

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City COLUMBUS
Zip Code 31906

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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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