HAGAN HOME (NPI# 1619249794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619249794 |
| Entity Type | Organization |
| Organization Name | HAGAN HOME |
| Practice Address |
519 E 15th St Alma GA 31510-3003 |
| Mailing Address |
1007 Mary St Waycross GA 31503-3823 |
| Practice Telephone | 9126320140 |
| Mailing Telephone | 9124497111 |
| Mailing Fax Number | 9124497060 |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-02-03 |
| Authorized Official Name | BOBBY BROWN (CEO) |
| Authorized Official Telephone | 9124497111 |
| Is Organization Subpart | Y |
| Parent Organization Name | SATILLA COMMUNITY SERVICE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | HAGAN HOMES LLC | 15 Rowlee Road, Fulton, New York 13069 |
| Street Address |
519 E 15TH ST |
| City | ALMA |
| State | GA |
| Zip Code | 31510-3003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693407 | Shepard Therapy Center | Occupational Therapist | 139 Ga Highway 32 Byp, Alma, GA 31510 | 2019-11-13 |
| 1760027320 | Sean Shepard | Physical Therapist | 139 Ga Hwy 32 Bypass, Alma, GA 31510 | 2019-11-07 |
| 1043875586 | Tricare Ambulance Service L.L.C. | Ambulance | 172 Pine Hollow Ln, Alma, GA 31510 | 2019-05-09 |
| 1053806299 | Eva Fedd | Counselor | 901 North Pierce St, Alma, GA 31510 | 2018-06-29 |
| 1730570268 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1041 S Us Highway 1, Alma, GA 31510 | 2015-02-05 |
| 1356475644 | Bacon County Family Medicine, LLC | Family Medicine | 205 South Wayne Street, Alma, GA 31510 | 2007-03-16 |
| 1720124043 | Unison Behavioral Health | Day Training, Developmentally Disabled Services | 1835 W 12th Street, Alma, GA 31510 | 2007-01-30 |
| 1891832952 | Unison Behavioral Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 123 Quart Douglas Road, Alma, GA 31510 | 2007-01-30 |
| 1992899082 | George Joel Williams Jr. | Dentist | 408 E 16th St, George J Williams Dds, Alma, GA 31510 | 2006-10-03 |
| 1093829343 | Charles E Bagley Mdpc | Family Medicine | 210 E 16th Street, Alma, GA 31510 | 2006-08-17 |
| Find all providers in zip 31510 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366067290 | Next Step Holistic Counseling Center, LLC | Community/Behavioral Health | 506 Wright Ave, Alma, MI 48801-1615 | 2020-06-16 |
| 1962943704 | Ashley Brown, LLC | Community/Behavioral Health | 641 Highway 71 N Suite 5, Alma, AR 72921 | 2017-03-13 |
| 1053683136 | Helton Home | Community/Behavioral Health | 106 Spruce Dr, Alma, GA 31510-4340 | 2012-02-03 |
| 1770855850 | Hall House | Community/Behavioral Health | 251 Spruce Dr, Alma, GA 31510-4337 | 2012-02-03 |
| 1518239698 | Simmons House | Community/Behavioral Health | 205 Fir Tree Ln, Alma, GA 31510-4529 | 2012-02-03 |
| 1770969883 | Western Region Recovery & Wellness Consortia | Community/Behavioral Health | 407 S 2nd St, Alma, WI 54610-9715 | 2015-07-31 |
| 1124404223 | Western Region Recovery & Wellness Consortia | Community/Behavioral Health | 407 S 2nd St, Alma, WI 54610-9715 | 2015-07-31 |
| 1942686050 | Western Region Recovery & Wellness Consortia | Community/Behavioral Health | 407 S 2nd St, Alma, WI 54610-9715 | 2015-07-31 |
| 1740454610 | Catalyst for Change Consultants | Community/Behavioral Health | 317 S 2nd St, Alma, WI 54610-7700 | 2008-04-22 |
| 1720261555 | Jon J Steimel, Acsw, LLC | Community/Behavioral Health | 116 W Superior St, Suite 3, Alma, MI 48801-1650 | 2007-12-15 |
| Find all providers in ALMA | ||||
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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.