NPIMap

Organization Active NPI

Georgia Department of Human Resources

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Milledgeville, GA
National Provider Identifier
1356586259
Registry record updated Dec 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
Practice address
1631 Valley Cir
Milledgeville, GA 31062-0001
Phone
(478) 445-8182
NPI assigned
Dec 5, 2008
Organization subpart
Yes
Parent organization
GEORGIA DEPARTMENT OF HUMAN RESOURCESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 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

1631 Valley Cir
Milledgeville, GA 31062-0001

Mailing address

1631 Valley Cir
Milledgeville, GA 31062-0001
Phone (478) 445-8182

Other identifiers 1

IdentifierTypeStateIssuer
000355737ALMedicaidGA

Other names 1

  • Central Care (1631 Valley Circle) Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Roosevelt Warm SGP Inst74 organizations share this tax ID, including this one
Part of
Roosevelt Warm SGP Inst

Organizations with this tax ID in the same state 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228435200000",
    "number": "1356586259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 VALLEY CIR",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310620001",
            "telephone_number": "478-445-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 VALLEY CIR",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310620001",
            "telephone_number": "478-445-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA DEPARTMENT OF HUMAN RESOURCES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GEORGIA DEPARTMENT OF HUMAN RESOURCES",
        "enumeration_date": "2008-12-05",
        "last_updated": "2008-12-05",
        "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": "000355737AL",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Care (1631 Valley Circle)",
            "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 Dec 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.