Watkins Personal Care Homes, Inc.

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

WATKINS PERSONAL CARE HOMES, INC.

Practice address

1939 Isaac Watkins Rd
Montrose, GA 31065-3307

Phone

(478) 676-3437

Fax

(478) 825-3062

NPI assigned

Apr 14, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Malcolm Rolland Watkins, BA

Title

Owner Operator

Phone

(478) 676-4646

Specialties & licenses 6

Addresses

Other names 1

• ISAACS HAVEN ASSISTED LIVING & VIRGINIA GARDENS ASSISTED LIVING Other name

Locations

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1104041367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1322",
            "address_2": "1939 ISAAC WATKINS ROAD",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310401322",
            "telephone_number": "478-676-4646",
            "fax_number": "478-676-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 ISAAC WATKINS RD",
            "city": "MONTROSE",
            "state": "GA",
            "postal_code": "310653307",
            "telephone_number": "478-676-3437",
            "fax_number": "478-825-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATKINS PERSONAL CARE HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-14",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_middle_name": "ROLLAND",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "478-676-4646",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ISAACS HAVEN ASSISTED LIVING & VIRGINIA GARDENS ASSISTED LIVING",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Assisted Living Facility (Mental Illness) in Montrose, GA
• Providers in Montrose, GA by specialty
• Assisted Living Facility (Mental Illness) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.