GREENWOOD HOMES LEARNING CENTER 315 (NPI# 1912164294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912164294 |
Entity Type | Organization |
Organization Name | GREENWOOD HOMES LEARNING CENTER 315 |
Practice Address |
705 N Division St Nw Rome GA 30165 |
Practice Telephone | 7062956298 |
Enumeration Date | 2008-05-22 |
Last Update Date | 2008-05-22 |
Authorized Official Name | TAMMY VAUGHN (PATIENT ACCOUNTS OFFICER) |
Authorized Official Telephone | 7062956298 |
Is Organization Subpart | Y |
Parent Organization Name | NW GA REGIONAL HOSPITAL |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 057013 | GA | Residential Treatment Facilities |
Street Address |
705 N DIVISION ST NW |
City | ROME |
State | GA |
Zip Code | 30165 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003939794 | Nw Ga Regional Hospital | Pharmacy | 705 N Division St Nw, Rome, GA 30165-1454 | 2007-04-09 |
1518190388 | Judy Walters | Registered Nurse | 705 N Division St Nw, Building 315, Rome, GA 30165-1454 | 2009-08-27 |
1033342803 | Kevin Donald Scott | Registered Nurse | 705 N Division St Nw, Bldge 315, Rome, GA 30165-1454 | 2009-08-27 |
1558594333 | Vickie Cooper | Registered Nurse | 705 N Division St Nw, Building 315, Rome, GA 30165-1454 | 2009-08-27 |
1184857963 | Patrick Andrews | Registered Nurse | 705 N Division St Nw, Building 315, Rome, GA 30165-1454 | 2009-08-27 |
1407089279 | Tonya Woods | Registered Nurse | 705 N Division St Nw, Building 315, Rome, GA 30165-1454 | 2009-08-27 |
1467685230 | Erin Hearndon | Registered Nurse | 705 N Division St Nw, Building 315, Rome, GA 30165-1454 | 2009-08-27 |
1619100492 | Cynthia Bryan | Registered Nurse | 705 N Division St Nw, Building 315, Rome, GA 30165-1454 | 2009-08-27 |
1891924577 | Nw Ga Regional Hospital | Psychiatric Hospital | 705 N Division St Nw, Rome, GA 30165-1454 | 2009-07-02 |
1760617229 | Department of Behavioral Health and Developmental Disabilities | Psychiatric Hospital | 705 N Division St Nw, Rome, GA 30165-1454 | 2009-05-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
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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 |
---|---|---|---|---|
1013151059 | Hillcrest Manor | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 802 Augusta Rd, Rome, ME 04963-3137 | 2009-04-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437764925 | Calveina Forde | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 538 Country Lake Dr, Mcdonough, GA 30252-2683 | 2020-09-10 |
1730715814 | Tyler Rose | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 116 South Mill Creek Court, Woodstock, GA 30188 | 2020-03-20 |
1023677713 | Earlean Blackwell | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1865 Waldrep Cir Se, Marietta, GA 30060-4927 | 2019-06-06 |
1629535216 | Carpenter Host Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 806 Grady Ave N, Douglas, GA 31533-4812 | 2019-03-01 |
1700354859 | View Point Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 160 Longstreet Cir, Oxford, GA 30054-2244 | 2018-11-07 |
1760950901 | View Point Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2116 Tudor Castle Cir, Decatur, GA 30035-2158 | 2018-11-06 |
1144747437 | Willie Mae Berry Pugh | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2013 Teal Court, Hephzibah, GA 30815 | 2017-08-28 |
1881116721 | Springhill Manor Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 600 Spring Hill Drive, Covington, GA 30016 | 2017-07-12 |
1093175283 | Peaceful River Residential Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 746 Rudgate Rd, Columbus, GA 31904-2929 | 2016-03-01 |
1548649494 | Prestige Community Living Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2328 Bigwood Trl, Atlanta, GA 30349-9049 | 2015-05-26 |
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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.