Hand-N-Hand PCH Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

CLA002111 Issued in GA

Legal business name

HAND-N-HAND PCH INC.

Practice address

125 Janette LN
Moultrie, GA 31788-7837

Phone

(229) 873-1968

Fax

(229) 324-2057

NPI assigned

Feb 6, 2017

Last updated

Feb 6, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sandra Phillips

Title

Ceo

Phone

(229) 873-1968

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1326586744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 JANETTE LN",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317887837",
            "telephone_number": "229-873-1968",
            "fax_number": "229-324-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 JANETTE LN",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317887837",
            "telephone_number": "229-873-1968",
            "fax_number": "229-324-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAND-N-HAND PCH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "229-873-1968"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "GA",
            "license": "CLA002111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225233062A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Intellectual Disabilities Intermediate Care Facility in Moultrie, GA
• Providers in Moultrie, GA by specialty
• Intellectual Disabilities Intermediate Care Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.