McDougle Personal Care Home Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MCDOUGLE PERSONAL CARE HOME INC

Practice address

808 Bethune St
Valdosta, GA 31601-6202

Phone

(229) 300-1389

NPI assigned

Apr 20, 2016

Organization subpart

No

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

Authorized official

Name

Cynthia E McDougle

Title

Ceo

Phone

(229) 269-8880

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Grace Healthcare Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Grace Healthcare Services Inc

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Valdosta, GA
  • NPI 1902121809
  NPD tax ID

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1942654512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 BETHUNE ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316016202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 BETHUNE ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316016202",
            "telephone_number": "229-300-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDOUGLE PERSONAL CARE HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "MCDOUGLE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "229-269-8880"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372083530A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McCowan Surgical Associates
• Brandon Walker McDade, MATS
• Ashly McDaniel, PA-C
• Deborah F. McDonald, O.D.
• Monshita McDonald, FNP
• Jadan Pinckney McGhin, N.P.
• Jenny Mae McIver, LMFT,MAC
• Macee McLain, RBT
• Joshalyn P McLellan, PHARMD
• Julie R McLeod, RPH

• Community/Behavioral Health Agency in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.