The Hampton House Facility, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

095-01-022-1 Issued in GA

Legal business name

THE HAMPTON HOUSE FACILITY, LLC

Practice address

432 S Fourth St
Colbert, GA 30628-3320

Phone

(706) 788-3400

Fax

(706) 788-3400

NPI assigned

Jul 9, 2014

Last updated

Jul 9, 2014By 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

Mr. Robert Strickland III

Title

Owner

Phone

(706) 788-3400

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1467868620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 456",
            "city": "COLBERT",
            "state": "GA",
            "postal_code": "306280456",
            "telephone_number": "706-788-3400",
            "fax_number": "706-788-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 S FOURTH ST",
            "city": "COLBERT",
            "state": "GA",
            "postal_code": "306283320",
            "telephone_number": "706-788-3400",
            "fax_number": "706-788-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HAMPTON HOUSE FACILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "STRICKLAND",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-788-3400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "GA",
            "license": "095-01-022-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF COMMUNITY HEALTH",
            "identifier": "095-01-022-1",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Savannah Leigh Smith, LCSW
• Justin Souter, NP
• Southern Medical Transport
• Jonathan Spaulding
• Linda Tejada Mahomar, AGPCNP-BC
• Akilah S Tomingas, M.D.
• Meredith Udell, MD
• Sydney Voorhees, MD
• Cameron Dean Wagenbrenner, MD
• Amanda Griffin Wagner, MS, OTR/L

• Adult Care Home Facility in Colbert, GA
• Providers in Colbert, GA by specialty
• Adult Care Home Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.