Organization Active NPI

Royal Cottage Inc

  • Physical Disabilities Residential Treatment Facility
  • Covington, GA
National Provider Identifier
1932472180
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
107-01-071-1 Issued in GA
Legal business name
ROYAL COTTAGE INC
Practice address
65 Stoney Point Ter
Covington, GA 30014-7070
Phone
(678) 261-8125
NPI assigned
Feb 20, 2012
Last updated
Feb 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

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

Authorized official

Name
Theresa L Reid
Title
Ceo
Phone
(770) 256-3194

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X 107-01-071-1 GA Primary
Psychiatric Residential Treatment Facility 323P00000X 107-01-071-1 GA

Addresses

Primary practice location

65 Stoney Point Ter
Covington, GA 30014-7070

Mailing address

65 Stoney Point Ter
Covington, GA 30014-7070
Phone (678) 261-8125

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329696000000",
    "number": "1932472180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 STONEY POINT TER",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300147070",
            "telephone_number": "678-261-8125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 STONEY POINT TER",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300147070",
            "telephone_number": "678-261-8125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL COTTAGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-20",
        "last_updated": "2012-02-20",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-256-3194"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "GA",
            "license": "107-01-071-1",
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "GA",
            "license": "107-01-071-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 20, 2012; 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.