Active NPI
Springhill Manor Inc.
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Covington, GA
National Provider Identifier
1881116721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- 107-01-024-1
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 788-699-715-B | Medicaid | GA |
Other names 1
- Springhill Manor
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Community Health Worker
- Covington, GA
- NPI 1124312269
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.