NEW BEGINNINGS PCH OF COLUMBUS, LLC (NPI# 1770066029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770066029 |
| Entity Type | Organization |
| Organization Name | NEW BEGINNINGS PCH OF COLUMBUS, LLC |
| Practice Address |
639 Lawyers Ln Columbus GA 31906-3812 |
| Mailing Address |
7210 Petersburg Rd Fairburn GA 30213-2212 |
| Practice Telephone | 6784901723 |
| Mailing Telephone | 6784901723 |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2018-10-04 |
| Authorized Official Name | JOHNNY SUMMERS (OWNER) |
| Authorized Official Telephone | 6784901723 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2711 Thomas St, Columbus, GA 319063241 | 6784901723 |
| Street Address |
639 LAWYERS LN |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31906-3812 |
| 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 Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548827751 | Pyramid House LLC | Community Based Residential Treatment Facility, Mental Illness | 6041 Mcnaughten Grove Ln, Columbus, OH 43213-5106 | 2019-05-22 |
| 1083067896 | Jaz Boyce | Community Based Residential Treatment Facility, Mental Illness | 592 Wiltshire Rd, Columbus, OH 43204-2429 | 2016-07-16 |
| 1679927974 | Parents Addressing Teen Challenges | Community Based Residential Treatment Facility, Mental Illness | 65 N Powell Ave, Columbus, OH 43204-2618 | 2016-04-22 |
| 1528200227 | Brockton Healthcare Network | Community Based Residential Treatment Facility, Mental Illness | 5701 Spruce Tree Dr, Columbus, OH 43232-7751 | 2009-03-27 |
| 1750840773 | Nationwide Residential Services | Community Based Residential Treatment Facility, Mental Illness | 1150 Morse Rd Ste 110, Columbus, OH 43229-6327 | 2019-03-19 |
| 1285119180 | Maryhaven | Community Based Residential Treatment Facility, Mental Illness | 100 Noe Bixby Rd, Columbus, OH 43213-1460 | 2018-09-27 |
| 1225580608 | Kamilah Muse | Community Based Residential Treatment Facility, Mental Illness | 765 Pierce Dr, Columbus, OH 43223-2425 | 2016-11-01 |
| 1346627460 | Kenneth B Walker Residential Home Inc | Community Based Residential Treatment Facility, Mental Illness | 3575 Macon Rd, Suite 25, Columbus, GA 31907-8200 | 2015-04-27 |
| 1972992816 | Alexia D. Faggins | Community Based Residential Treatment Facility, Mental Illness | 2100 Comer Ave, Columbus, GA 31904-8725 | 2015-01-15 |
| 1104214048 | The Village Network | Community Based Residential Treatment Facility, Mental Illness | 1751 E Long St, Columbus, OH 43203-2045 | 2014-12-30 |
| Find all providers in COLUMBUS | ||||
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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.