Organization Active NPI

Bleckley County Mr Service Center

  • Developmentally Disabled Services Day Training Agency
  • Cochran, GA
National Provider Identifier
1497047054
Registry record updated May 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
BLECKLEY COUNTY MR SERVICE CENTER
Practice address
133 Limestone Rd
Cochran, GA 31014-7036
Phone
(478) 230-5627
NPI assigned
May 13, 2011
Last updated
May 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2011

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

Authorized official

Name
Mr. James Reed Floyd, C E O
Title
Ceo
Phone
(478) 230-5627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary

Addresses

Primary practice location

133 Limestone Rd
Cochran, GA 31014-7036

Mailing address

133 Limestone Rd Apt F43
Cochran, GA 31014-7042
Phone (478) 230-5627

Other names 1

  • behavioral social services Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305244800000",
    "number": "1497047054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 LIMESTONE RD APT F43",
            "city": "COCHRAN",
            "state": "GA",
            "postal_code": "310147042",
            "telephone_number": "478-230-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 LIMESTONE RD",
            "city": "COCHRAN",
            "state": "GA",
            "postal_code": "310147036",
            "telephone_number": "478-230-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLECKLEY COUNTY MR SERVICE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-13",
        "last_updated": "2011-05-13",
        "status": "A",
        "authorized_official_last_name": "FLOYD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "REED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-230-5627",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C E O"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "behavioral social services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cochran, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; 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.