NPIMap

Organization Active NPI

Freds House

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Comer, GA
National Provider Identifier
1114298635
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
FREDS HOUSE
Practice address
517 Watson Mill Rd
Comer, GA 30629-6124
Phone
(706) 207-0894
NPI assigned
Jan 13, 2012
Organization subpart
Yes
Parent organization
ABHSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Authorized official

Name
Glenn Butler
Title
Billing MGR
Phone
(706) 389-6789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

517 Watson Mill Rd
Comer, GA 30629-6124

Mailing address

250 North Ave
Athens, GA 30601-2244
Phone (706) 389-6789

National Provider Directory

National Provider Directory
Tax ID family
True Comfort Care Home 659 organizations share this tax ID, including this one
Part of
True Comfort Care Home 6

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1114298635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 NORTH AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012244",
            "telephone_number": "706-389-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 WATSON MILL RD",
            "city": "COMER",
            "state": "GA",
            "postal_code": "306296124",
            "telephone_number": "706-207-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDS HOUSE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ABHS",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "BILLING MGR",
        "authorized_official_telephone_number": "706-389-6789"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Comer, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.