NPIMap

Organization Active NPI

Grace Harbour Inc. Behavioral Health

  • Community/Behavioral Health Agency
  • Newnan, GA
National Provider Identifier
1396097093
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
RN149839 Issued in GA
Legal business name
GRACE HARBOUR INC. BEHAVIORAL HEALTH
Practice address
2 Lee St
Newnan, GA 30263-1915
Phone
(678) 326-4488
Fax
(678) 669-2693
NPI assigned
Oct 5, 2012
Last updated
Oct 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

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

Authorized official

Name
Mrs. Kristin H Newman, R.N.
Title
Staff Nurse
Phone
(678) 326-4488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X RN149839 GA Primary

Addresses

Primary practice location

2 Lee St
Newnan, GA 30263-1915

Mailing address

2 Lee St
Newnan, GA 30263-1915
Phone (678) 326-4488

Other identifiers 1

IdentifierTypeStateIssuer
1407072770OtherGAGRACE HARBOUR NPI NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Grace Harbour Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2 Lee St
Newnan, GA 30263
Phone (678) 326-4488

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1396097093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LEE ST",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631915",
            "telephone_number": "678-326-4488",
            "fax_number": "678-669-2693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LEE ST",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631915",
            "telephone_number": "678-326-4488",
            "fax_number": "678-669-2693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HARBOUR INC. BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-05",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "STAFF NURSE",
        "authorized_official_telephone_number": "678-326-4488",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "RN149839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRACE HARBOUR NPI NUMBER",
            "identifier": "1407072770",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.