Organization Active NPI

Springhill Manor Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Covington, GA
National Provider Identifier
1881116721
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
107-01-024-1 Issued in GA
Legal business name
SPRINGHILL MANOR INC.
Doing business as
Springhill Manor
Practice address
600 Spring Hill Drive
Covington, GA 30016
Phone
(770) 728-9992
NPI assigned
Jul 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Kenneth Jones
Title
Director
Phone
(770) 728-9992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 107-01-024-1 GA Primary

Addresses

Primary practice location

600 Spring Hill Drive
Covington, GA 30016

Mailing address

600 Spring Hill Dr
Covington, GA 30016-5288
Phone (770) 728-9992

Other identifiers 1

IdentifierTypeStateIssuer
788-699-715-BMedicaidGA

Other names 1

  • Springhill Manor Doing business as

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": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1881116721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SPRING HILL DR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300165288",
            "telephone_number": "770-728-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SPRING HILL DRIVE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "30016",
            "telephone_number": "770-728-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGHILL MANOR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "770-728-9992"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "GA",
            "license": "107-01-024-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "788-699-715-B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springhill Manor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Springhill Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.