Organization Active NPI

Inner Harbour, LTD.

  • Mental Illness Community Based Residential Treatment Facility
  • Douglasville, GA
National Provider Identifier
1891988747
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
INNER HARBOUR, LTD.
Practice address
8341 Grady St
Douglasville, GA 30134-6910
Phone
(770) 942-2391
NPI assigned
Aug 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Authorized official

Name
Ron Scroggy
Title
Ceo
Phone
(770) 942-2391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

8341 Grady St
Douglasville, GA 30134-6910

Mailing address

4685 Dorsett Shoals Rd
Douglasville, GA 30135-4921
Phone (770) 942-2391

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1891988747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4685 DORSETT SHOALS RD",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301354921",
            "telephone_number": "770-942-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8341 GRADY ST",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301346910",
            "telephone_number": "770-942-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER HARBOUR, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "SCROGGY",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-942-2391"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.