Twin Oaks

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

138-01-010-9 Issued in GA

Legal business name

TWIN OAKS

Practice address

582 Mel Blount Rd
Vidalia, GA 30474-9714

Phone

(912) 537-7758

Fax

(912) 537-0825

NPI assigned

Jan 7, 2009

Organization subpart

Yes

Parent organization

CAMP WANNA BE, INCAs reported in NPPES

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

Authorized official

Name

Mr. Clinton Blount, CEO

Title

President

Phone

(912) 537-7758

Specialties & licenses 2

Addresses

Other names 1

• Camp Wanna Be, In Other name

Tax ID family

Twin Oaks2 organizations share this tax ID, including this one

Part of

Twin Oaks

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Camp Wanna Be

  • Professional Counselor
  • Vidalia, GA
  • NPI 1306192737
  NPD tax ID

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1285870691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 BUCKHORN CREEK RD",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304749759",
            "telephone_number": "912-537-7787",
            "fax_number": "912-537-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 MEL BLOUNT RD",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304749714",
            "telephone_number": "912-537-7758",
            "fax_number": "912-537-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN OAKS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAMP WANNA BE, INC",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "BLOUNT",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-537-7758",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "GA",
            "license": "138-01-010-9",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "GA",
            "license": "138-01-010-9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camp Wanna Be, In",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tots to Teens Medical Center (Tots To Teens Medical Ctr)
• Transport America Ambulance Service LLC
• Tri-County Clinic of Chiropractic, LLC
• Heather Turner, DC
• Twi Counseling
• Twin Oaks Living Communities
• Swayamprabha S Tyagi, MD
• Universal Community Health System LLC
• Ashley Upshaw, PHARM.D.
• Vidalia Anesthesia Assoc PC

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Vidalia, GA
• Providers in Vidalia, GA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.