NPIMap

Organization Active NPI

T Leige Host Home

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Athens, GA
National Provider Identifier
1205106549
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
T LEIGE HOST HOME
Practice address
202 Sweetgum Way
Athens, GA 30601-4067
Phone
(706) 340-7421
NPI assigned
Jan 4, 2012
Last updated
Jan 4, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
ABHSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 4, 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 NU Primary

Addresses

Primary practice location

202 Sweetgum Way
Athens, GA 30601-4067

Mailing address

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

National Provider Directory

National Provider Directory
Tax ID family
Advantage Behavioral Health Systems59 organizations share this tax ID, including this one
Part of
Advantage Behavioral Health Systems

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": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1205106549",
    "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": "202 SWEETGUM WAY",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306014067",
            "telephone_number": "706-340-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T LEIGE HOST HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ABHS",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.