The Homeplace Shelter Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

THE HOMEPLACE SHELTER INC.

Doing business as

mildred's homeplace lll

Practice address

612 E Clay St
Thomasville, GA 31792-4608

Phone

(229) 551-0695

Fax

(229) 551-0694

NPI assigned

Apr 20, 2006

Last updated

Jan 5, 2009By 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

Ms. Nancy Lee Mitchell

Title

Director

Phone

(229) 228-1985

Specialties & licenses 4

Addresses

Other names 1

• mildred's homeplace lll Doing business as

Tax ID family

Mildred's Homeplace III3 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.

• Mildred's Homeplace III

  dba The HomePlace Shelter Inc.

  • Community Based Hospice Care Agency
  • Thomasville, GA
  • NPI 1073847703
  NPD tax ID
• The Homeplace Shelter Inc.

  dba Mildred's HomePlace III

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Thomasville, GA
  • NPI 1346473246
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• The Homeplace Shelter Inc.

  dba Mildred's HomePlace III

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Thomasville, GA
  • NPI 1346473246
  NPPES parent name

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231113600000",
    "number": "1427013531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 E CLAY ST",
            "address_2": "357 A&B SHORELINE DRIVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317924608",
            "telephone_number": "229-551-0695",
            "fax_number": "229-551-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 E CLAY ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317924608",
            "telephone_number": "229-551-0695",
            "fax_number": "229-551-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HOMEPLACE SHELTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2009-01-05",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "229-228-1985",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "1998-A",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mildred's homeplace lll",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anita C Terry, CRNA
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• The Homeplace Shelter Inc. (Mildred's HomePlace III)
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• The Vashti Center, Inc.
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• Case Management Agency in Thomasville, GA
• Providers in Thomasville, GA by specialty
• Case Management Agency in Georgia

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