Organization Active NPI

Pine Woods Retreat, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Savannah, GA
National Provider Identifier
1396976494
Registry record updated Aug 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PINE WOODS RETREAT, INC.
Practice address
1149 Cornell Ave
Suite 3-a
Savannah, GA 31406-2700
Phone
(912) 354-7447
NPI assigned
Aug 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2009

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

Authorized official

Name
Ms. Jane A. Nangle
Title
President of the Board of Trustees
Phone
(912) 354-7447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1149 Cornell Ave
Suite 3-a
Savannah, GA 31406-2700

Mailing address

1149 Cornell Ave
Suite 3-a
Savannah, GA 31406-2700
Phone (912) 354-7447

National Provider Directory

National Provider Directory

Locations

1149 Cornell Ave
Ste 3A
Savannah, GA 31406
Phone (912) 354-7447

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249516800000",
    "number": "1396976494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1149 CORNELL AVE",
            "address_2": "SUITE 3-A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062700",
            "telephone_number": "912-354-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 CORNELL AVE",
            "address_2": "SUITE 3-A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062700",
            "telephone_number": "912-354-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE WOODS RETREAT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2009-08-06",
        "status": "A",
        "authorized_official_last_name": "NANGLE",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT OF THE BOARD OF TRUSTEES",
        "authorized_official_telephone_number": "912-354-7447",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

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