NPIMap

Organization Active NPI

Uhs of Savannah, LLC

  • Psychiatric Residential Treatment Facility
  • Savannah, GA
National Provider Identifier
1073064564
Registry record updated Oct 19, 2016
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Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
025618 Issued in GA
Legal business name
UHS OF SAVANNAH, LLC
Practice address
1150 Cornell Ave
Savannah, GA 31406-2702
Phone
(912) 354-3911
Fax
(912) 355-1336
NPI assigned
Oct 19, 2016
Organization subpart
Yes
Parent organization
UHSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sally Perry
Title
Ceo
Phone
(912) 354-3911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 025618 GA Primary

Addresses

Primary practice location

1150 Cornell Ave
Savannah, GA 31406-2702

Mailing address

1150 Cornell Ave
Savannah, GA 31406-2702
Phone (912) 354-3911

Other names 1

  • Coastal Harbor Treatment Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Psychiatric residential treatment facility certification: CCN 11L001

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
COASTAL HARBOR TREATMENT CENTER (PRTF)
Certification status
Active
Provider type (POS)
Psychiatric residential treatment facility
Participating since
Jun 28, 2008
Last certification
Aug 15, 2018
Beds
125
Ownership / control type
For profit – partnership
Facility address
1150 Cornell Avenue
Savannah, GA 31406

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1073064564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 CORNELL AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062702",
            "telephone_number": "912-354-3911",
            "fax_number": "912-355-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 CORNELL AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062702",
            "telephone_number": "912-354-3911",
            "fax_number": "912-355-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UHS OF SAVANNAH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UHS",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-354-3911"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "GA",
            "license": "025618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Harbor Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.