Ben Hill Mental Retardation Service

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

BEN HILL MENTAL RETARDATION SERVICE

Doing business as

The Jessamine Place

Practice address

402 S Main St
Fitzgerald, GA 31750-3361

Phone

(229) 426-5205

Fax

(229) 426-5208

NPI assigned

May 18, 2007

Last updated

Aug 22, 2020By 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

Mrs. Shirley B Brooks

Title

Director

Phone

(229) 426-5205

Specialties & licenses 1

Addresses

Other names 1

• The Jessamine Place Doing business as

Locations

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740498153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 S MAIN ST",
            "city": "FITZGERALD",
            "state": "GA",
            "postal_code": "317503361",
            "telephone_number": "229-426-5205",
            "fax_number": "229-426-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S MAIN ST",
            "city": "FITZGERALD",
            "state": "GA",
            "postal_code": "317503361",
            "telephone_number": "229-426-5205",
            "fax_number": "229-426-5208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEN HILL MENTAL RETARDATION SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "229-426-5205",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Jessamine Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ben Hill County EMS
• Ben Hill County School System
• Ben Hill Emergency Group LLC
• Ben Hill Family Medicine
• Ben Hill Health Care Center, Inc. (Fitzgerald Nursing Home)
• Ben Hill Physician Services LLC
• Best Hands Services LLC. (Best Hands Services)
• Angela M Bloodworth, NP
• Blooms of Life Homecare
• Kianna Tymoria Boone

• Developmentally Disabled Services Day Training Agency in Fitzgerald, GA
• Providers in Fitzgerald, GA by specialty
• Developmentally Disabled Services Day Training Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.