NPIMap

Organization Active NPI

Data House Transition Home

  • Adult Care Home Facility
  • Columbus, GA
National Provider Identifier
1811340581
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
92788 Issued in GA
Legal business name
DATA HOUSE TRANSITION HOME
Practice address
6014 Billings Rd
Columbus, GA 31909-4335
Phone
(706) 662-2733
NPI assigned
Jul 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Authorized official

Name
Mr. Demetrius Echols Sr., OWNERNPI 1811347701
Title
Owner
Phone
(678) 790-8033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 92788 GA Primary

Addresses

Primary practice location

6014 Billings Rd
Columbus, GA 31909-4335

Mailing address

2104 Skylake Dr
Columbus, GA 31907-3547

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1811340581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 SKYLAKE DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319073547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6014 BILLINGS RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319094335",
            "telephone_number": "706-662-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DATA HOUSE TRANSITION HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "ECHOLS",
        "authorized_official_first_name": "DEMETRIUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-790-8033",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "GA",
            "license": "92788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.