NPIMap

Advantage BHS

Organization Active NPI Developmental Disabilities Clinic/Center · Crawford, GA

NPI 1093831455 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1093831455
Entity type
Organization (NPI type 2)
Primary specialty
Developmental Disabilities Clinic/Center 261QD1600X
Legal business name
ADVANTAGE BHS
Practice address
331 Wall St
Crawford, GA 30630-2419
Phone
(706) 743-3355
NPI assigned
Mar 21, 2007
Organization subpart
No

Authorized official

Name
Glenn Butler
Title
Billing Supervisor
Phone
(706) 542-9700

Corporate family (same tax ID) 15

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
True Comfort Care Home 6 (59 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Yes

Addresses

Primary practice location

331 Wall St
Crawford, GA 30630-2419

Mailing address

250 North Ave
Business Ofc
Athens, GA 30601-2244
Phone (706) 542-9700

Other names

  • NOODY'S PERSONAL CARE HOME Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093831455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 NORTH AVE",
            "address_2": "BUSINESS OFC",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012244",
            "telephone_number": "706-542-9700",
            "fax_number": "706-227-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 WALL ST",
            "city": "CRAWFORD",
            "state": "GA",
            "postal_code": "306302419",
            "telephone_number": "706-743-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE BHS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "706-542-9700"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOODY'S PERSONAL CARE HOME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Crawford, GA

All providers in Crawford, GA · Developmental Disabilities Clinic/Center in Georgia

Sources for this page

Verify at the official NPI Registry.