Active NPI
Collaborative Health Care & TNG Ins
- Health Service Clinic/Center
- Milledgeville, GA
National Provider Identifier
1891063244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 002023
- Legal business name
- COLLABORATIVE HEALTH CARE & TNG INS
- Practice address
- 112 Wright Dr
Ste C
Milledgeville, GA 31061-8566 - Phone
- (478) 295-2626
- Fax
- (478) 295-2630
- NPI assigned
- Dec 13, 2011
- Organization subpart
- Yes
- Parent organization
- RATLIFF PRIVATE HOME CARE
NPPES NPI Registry
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 SPECI
- Title
- Ceo
- Phone
- (478) 295-2626
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | 002023 | GA | |
| Health Service Clinic/Center | 261QH0100X | 002023 | GA | Primary |
Addresses
Primary practice location
112 Wright Dr
Ste C
Milledgeville, GA 31061-8566
Mailing address
112 Wright Dr
Ste C
Milledgeville, GA 31061-8566
Phone (478) 295-2626
Other names 1
- Ratliff Private Home Care
National Provider Directory
National Provider Directory- Part of
- Collaborative Health Care
Locations
2601 N Columbia St
Ste C
Milledgeville, GA 31061
Phone (478) 457-0192
2601 N Columbia St
Milledgeville, GA 31061
Phone (478) 295-2626
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.
-
- In Home Supportive Care Agency
- Milledgeville, GA
- NPI 1194092742
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": "1445904000000",
"number": "1891063244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 WRIGHT DR",
"address_2": "STE C",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310618566",
"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": "112 WRIGHT DR",
"address_2": "STE C",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310618566",
"telephone_number": "478-295-2626",
"fax_number": "478-295-2630"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLLABORATIVE HEALTH CARE & TNG INS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RATLIFF PRIVATE HOME CARE",
"enumeration_date": "2011-12-13",
"last_updated": "2015-10-27",
"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 SPECI"
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": "GA",
"license": "002023",
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"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 Oct 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.