NPIMap

Organization Active NPI

Collaborative Healthcare

  • Other Technician
  • Milledgeville, GA
National Provider Identifier
1831467299
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
License
002023 Issued in GA
Legal business name
COLLABORATIVE HEALTHCARE
Practice address
187 Roberson Mill Rd NE
Suite 201
Milledgeville, GA 31061-4960
Phone
(478) 295-2626
Fax
(478) 295-2630
NPI assigned
Dec 13, 2011
Organization subpart
Yes
Parent organization
RATLIFF PRIVATE HOME CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Authorized official

Name
Mrs. Annette T Trawick, CLINICAL NURSE SPECNPI 1255633368
Title
Ceo
Phone
(478) 295-2626

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
Other TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 247200000X 002023 GA Primary

Addresses

Primary practice location

187 Roberson Mill Rd NE
Suite 201
Milledgeville, GA 31061-4960

Mailing address

187 Roberson Mill Rd NE
Suite 201
Milledgeville, GA 31061-4960
Phone (478) 295-2626

Other names 1

  • Ratliff private home care Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Collaborative Health Care2 organizations share this tax ID, including this one
Part of
Collaborative Health Care

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1831467299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 ROBERSON MILL RD NE",
            "address_2": "SUITE 201",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310614960",
            "telephone_number": "478-295-2626",
            "fax_number": "478-295-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 ROBERSON MILL RD NE",
            "address_2": "SUITE 201",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310614960",
            "telephone_number": "478-295-2626",
            "fax_number": "478-295-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE HEALTHCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RATLIFF PRIVATE HOME CARE",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "TRAWICK",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-295-2626",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CLINICAL NURSE SPEC"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other",
            "state": "GA",
            "license": "002023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ratliff private home care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Milledgeville, GA

Sources for this page

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