C BONDS HOST HOME (NPI# 1760752166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760752166 |
| Entity Type | Organization |
| Organization Name | C BONDS HOST HOME |
| Practice Address |
79 Michelle Dr Jefferson GA 30549-6332 |
| Mailing Address |
250 North Ave Athens GA 30601-2244 |
| Practice Telephone | 7063675573 |
| Mailing Telephone | 7063896789 |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2012-09-20 |
| Authorized Official Name | GLENN BUTLER (BILLING MGR) |
| Authorized Official Telephone | 7063896789 |
| Is Organization Subpart | Y |
| Parent Organization Name | ABHS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
79 MICHELLE DR |
| City | JEFFERSON |
| State | GA |
| Zip Code | 30549-6332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356723464 | Lindsey Marie Whitworth | Pharmacist | 918 Old Forge Lane, Jefferson, GA 30549 | 2015-06-25 |
| 1780835876 | Jeanna Ellis | Pharmacist | 1305 Washington St., Jefferson, GA 30549 | 2008-10-07 |
| 1578769246 | William Robert Newell | Dentist | 1689 Old Pendergrass Rd., Suite 350, Jefferson, GA 30549 | 2007-06-21 |
| 1003950825 | Regional Firstcare | Emergency Medicine | 528 Panther Drive, Jefferson, GA 30549 | 2007-02-16 |
| 1629118096 | Susan Marie Bell | Dietitian, Registered | 341 General Jackson Drive, Jefferson, GA 30549 | 2007-02-07 |
| 1538254008 | Douglas E Cleveland | Dentist | 411 Athens Street, Jefferson, GA 30549 | 2006-10-03 |
| 1740382894 | Tammy G Smith | Clinic/Center | 2610 Hwy 129 N, Jefferson, GA 30549 | 2006-09-01 |
| 1881641264 | Peak Rehabilitation, Inc | Clinic/Center | 1660 Washington St, Jefferson, GA 30549 | 2006-05-30 |
| 1801372578 | Stephen Edward Conwell | Nurse Practitioner | 1685 Old Pendergrass Rd, Jefferson, GA 30549 | 2018-07-16 |
| 1255871992 | Life Point Dental | Clinic/Center | 660 Washington St., Jefferson, GA 30549 | 2017-02-28 |
| Find all providers in zip 30549 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861620619 | Shirley Sylvester Carmichael | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 88 Rockland Road, Jefferson, ME 04348 | 2009-06-30 |
| 1558501171 | Carter's Group Home, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 91 Righteous Path, Jefferson, GA 30549-7037 | 2009-02-22 |
| 1881882975 | The Magnolia School, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 119 Maine St, Jefferson, LA 70121-3707 | 2007-10-15 |
| 1154519247 | The Magnolia School, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2007 James St, Jefferson, LA 70121-2207 | 2007-10-15 |
| 1063600153 | The Magnolia School, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 333 Dodge Ave, Jefferson, LA 70121-3309 | 2007-10-15 |
| 1700074895 | The Magnolia School, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 520 Deckbar Ave, Jefferson, LA 70121-2310 | 2007-10-15 |
| 1982892063 | The Magnolia School, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 307 Shrewsbury Rd, Jefferson, LA 70121-3525 | 2007-10-15 |
| 1518155605 | The Magnolia School, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 213 Saint George Ave, Jefferson, LA 70121-3218 | 2007-10-15 |
| 1770766370 | The Magnolia School, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 100 Central Ave, Jefferson, LA 70121-3402 | 2007-12-06 |
| 1891983987 | The Magnolia School, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 575 Central Ave, Jefferson, LA 70121-1411 | 2007-10-15 |
| Find all providers in JEFFERSON | ||||
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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.