NPIMap

Organization Active NPI

Georgia Department of Human Resources

Doing business as Central Care (120 Daphne St)

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Milledgeville, GA
National Provider Identifier
1154597672
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
GEORGIA DEPARTMENT OF HUMAN RESOURCES
Doing business as
Central Care (120 Daphne St)
Practice address
120 Daphney St SE
Milledgeville, GA 31061-4342
Phone
(478) 445-8182
NPI assigned
May 5, 2008
Last updated
May 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Mr. George Harris
Title
Director
Phone
(478) 445-8182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

120 Daphney St SE
Milledgeville, GA 31061-4342

Mailing address

120 Daphney St SE
Milledgeville, GA 31061-4342
Phone (478) 445-8182

Other identifiers 1

IdentifierTypeStateIssuer
367122367AMedicaidGA

Other names 1

  • Central Care (120 Daphne St) Doing business as

National Provider Directory

National Provider Directory
Tax ID family
NW Ga Regional Hospital74 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1154597672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 DAPHNEY ST SE",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310614342",
            "telephone_number": "478-445-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 DAPHNEY ST SE",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310614342",
            "telephone_number": "478-445-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA DEPARTMENT OF HUMAN RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "478-445-8182",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "367122367A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Care (120 Daphne St)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milledgeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.