Putnam-Jasper Assoc. for Mentally Handicapped, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

H202329 Issued in GA

Legal business name

PUTNAM-JASPER ASSOC. FOR MENTALLY HANDICAPPED, INC.

Doing business as

Putnam-Jasper Support Services

Practice address

149 Sara Lee Drive
Eatonton, GA 31024-3115

Phone

(706) 485-8391

Fax

(706) 485-0066

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John N. Copelan

Title

Director

Phone

(706) 485-8391

Specialties & licenses 1

Addresses

Other names 1

• Putnam-Jasper Support Services Doing business as

Locations

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255401162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3115",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310243115",
            "telephone_number": "706-485-8391",
            "fax_number": "706-485-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 SARA LEE DRIVE",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310243115",
            "telephone_number": "706-485-8391",
            "fax_number": "706-485-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM-JASPER ASSOC. FOR MENTALLY HANDICAPPED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COPELAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "706-485-8391",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "GA",
            "license": "H202329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Putnam-Jasper Support Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Developmentally Disabled Services Day Training Agency in Eatonton, GA
• Providers in Eatonton, GA by specialty
• Developmentally Disabled Services Day Training Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.