LATIES, INC.


Address: 9618 Brown Rd, Jonesboro, GA 30238-5966
Phone: 7704721187

LATIES, INC. (NPI# 1801186945) 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) 1801186945
Entity Type Organization
Organization Name LATIES, INC.
Practice Address 9618 Brown Rd
Jonesboro
GA 30238-5966
Practice Telephone 7704721187
Practice Fax Number 7704721187
Mailing Telephone 7704721187
Mailing Fax Number 7704721187
Enumeration Date 2011-04-11
Last Update Date 2011-04-11
Authorized Official Name MYRTIES M. MILLER (CEO)
Authorized Official Telephone 7704721187
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 031011711 GA Residential Treatment Facilities
Y 320800000X Community Based Residential Treatment Facility, Mental Illness 031011711 GA Residential Treatment Facilities

Office Location

Street Address 9618 BROWN RD
City JONESBORO
State GA
Zip Code 30238-5966

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1821472077 Surgivue First Assisting Nurse Practitioner 5865 Sinclair Way, Jonesboro, GA 30238 2015-07-17
1518384106 Visions of Life Behavioral Health Services, Incorporated Counselor 754 Chapman Street, Jonesboro, GA 30238 2014-03-21
1942560206 Terri L Lee Counselor 7899 Waterwheel Way, Jonesboro, GA 30238 2012-05-21
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1518297175 Heavenly Assisted Care, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 10555 Aspenwood Ct, Jonesboro, GA 30238 2010-01-05
1649419821 Carmen Melton Douglas Speech-Language Pathologist 10354 Shepperton Court, Jonesboro, GA 30238 2009-02-12
1205050259 Caryn Ann Grzesiakowski Chiropractor 809 Flint River Road, Suite #4, Jonesboro, GA 30238 2007-04-12
1548325483 Janet Musser Granski Social Worker 110 North Bend Court, Jonesboro, GA 30238 2006-12-22
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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

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1811464035 Hope Homes Recovery, LLC Community Based Residential Treatment Facility, Mental Illness 432 Virginia Rd, Atlanta, GA 30338-4793 2018-10-25
1770066029 New Beginnings PCh of Columbus, LLC Community Based Residential Treatment Facility, Mental Illness 639 Lawyers Ln, Columbus, GA 31906-3812 2018-09-12
1588140859 Butterfly Development, LLC Community Based Residential Treatment Facility, Mental Illness 1911 Grayson Highway, Suite 8-242, Grayson, GA 30017 2018-07-19
1326555210 Clayton Center Mhaddd Community Based Residential Treatment Facility, Mental Illness 5930 Highway 85 Unit 101, Riverdale, GA 30274-1502 2018-01-02
1245747138 Clayton Center Mhaddd Community Based Residential Treatment Facility, Mental Illness 5930 Highway 85 Unit 104, Riverdale, GA 30274-1502 2018-01-02
1235646217 Clayton Center Mhaddd Community Based Residential Treatment Facility, Mental Illness 5930 Highway 85 Unit 401, Riverdale, GA 30274-1502 2017-12-29
1528574431 House of Concrete Roses, LLC Community Based Residential Treatment Facility, Mental Illness 1133 Huff Rd Nw Apt 766, Atlanta, GA 30318-4327 2017-12-15
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Competitor

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City JONESBORO
Zip Code 30238

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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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