PINKIES PLACE


Address: 216 Self St, Warner Robins, GA 31088-5506
Phone: 4785514864

PINKIES PLACE (NPI# 1659987931) 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) 1659987931
Entity Type Organization
Organization Name PINKIES PLACE
Practice Address 216 Self St
Warner Robins
GA 31088-5506
Practice Telephone 4785514864
Mailing Telephone 4785514864
Enumeration Date 2020-09-22
Last Update Date 2020-09-22
Authorized Official Name MR. JOSHUA LAMONT PRIMAS (DIRECTOR)
Authorized Official Telephone 4785514864
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

Office Location

Street Address 216 SELF ST
City WARNER ROBINS
State GA
Zip Code 31088-5506

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982218921 Sarah Newman Pharmacist 1081 Ga-96, Warner Robins, GA 31088 2020-09-08
1619599115 Alana Jane Sibley Registered Nurse 940 Ga - 96, Warner Robins, GA 31088 2020-05-07
1033779657 Jodi Lynne Pettygrove Nurse Practitioner 115 Havelock Cir, Warner Robins, GA 31088 2019-06-17
1164994901 Gwendolyn Jordan Taylor Registered Nurse 940-c Ga Hwy 96, Same, Warner Robins, GA 31088 2018-12-18
1447721543 Amy Tanner Behavioral Analyst 200 Cresview Church Rd #1806, Warner Robins, GA 31088 2018-12-16
1518435676 Phoenix Health Center Case Management 940 Ga-96, Warner Robins, GA 31088 2018-11-07
1427534320 Jared Dean Johnson Social Worker 146 Lakepointe Drive, Warner Robins, GA 31088 2018-07-13
1285124180 Cmp Academy & Billing Service Contractor 105 S Commercial Circle, Warner Robins, GA 31088 2018-05-16
1730692377 Benzer Pharmacy Pharmacy 150 S Houston Lake Rd Ste 300, Warner Robins, GA 31088 2017-11-06
1821507476 Timothy Doyle Thomas Registered Nurse 940-c Hwy 96, Warner Robins, GA 31088 2017-09-27
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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
1245464718 Tlb Residential Treatment Services, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1000 Martha Street, Warner Robins, GA 31093 2009-05-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790385862 Hickory Log Vocational School Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3680 Highway 411 Ne, White, GA 30184-2427 2020-10-28
1801403050 Safe Haven Personal Care Home Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 10875 Abercorn St Apt 132, Savannah, GA 31419-1843 2020-09-30
1629680293 Caregiver Ga, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3736 Executive Center Dr Ste B, Augusta, GA 30907-2360 2020-08-17
1730799073 Victory Won Counseling and Res Care Prof. Corp Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5014 Snapfinger Woods Dr, Decatur, GA 30035-4003 2020-08-02
1811528649 Unison Behavioral Health Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 211 North Street, Douglas, GA 31533 2020-01-30
1619519709 Gateway Behavioral Health Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 516 Freedom Trl, Brunswick, GA 31525-4712 2019-10-10
1215581756 Elegant Lm Management, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1020 Meadowsong Circle, Lawrenceville, GA 30043 2019-08-01
1467013821 Csb of East Central Ga Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5101 Parnell Way, Martinez, GA 30907-8896 2019-06-26
1013474915 Community Service Board of East Central Georgia Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1715 Lawerence Rd, Hephzibah, GA 30815-4445 2019-02-27
1164995965 Community Service Board of East Central Georgia Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1908 Driftwood Dr, Augusta, GA 30909-4113 2019-01-04
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Competitor

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City WARNER ROBINS
Zip Code 31088

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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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