G DANIEL HOST HOME (NPI# 1255601597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255601597 |
| Entity Type | Organization |
| Organization Name | G DANIEL HOST HOME |
| Practice Address |
242 N Oliver St Elberton GA 30635-1444 |
| Mailing Address |
250 North Ave Athens GA 30601-2244 |
| Practice Telephone | 7062066113 |
| Mailing Telephone | 7063896789 |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-01-04 |
| Authorized Official Name | GLENN BUTLER (BILLING MGR) |
| Authorized Official Telephone | 7063896789 |
| Is Organization Subpart | Y |
| Parent Organization Name | ABHS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
242 N OLIVER ST |
| City | ELBERTON |
| State | GA |
| Zip Code | 30635-1444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093379943 | Cassandra Darlene Barksdale | Technician | 242 N Oliver St, Elberton, GA 30635-1444 | 2019-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275950602 | Frank Thomas Varney | General Practice | 3557 Calhoun Falls Hwy, Elberton, GA 30635 | 2014-03-24 |
| 1922348291 | Tammy Heard Host Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 115 Upshaw Dr, Elberton, GA 30635 | 2013-02-25 |
| 1043593031 | Jeffrey Allen Burke | Pharmacist | 18 College Ave., Walgreens #11166, Elberton, GA 30635 | 2011-09-26 |
| 1467698886 | Ingles Markets Inc | Pharmacy | 903 Elberton St, Elberton, GA 30635 | 2009-01-07 |
| 1629149141 | Elbert County School District | Local Education Agency (LEA) | 50 Laurel Drive, Elberton, GA 30635 | 2006-11-13 |
| 1588745707 | Carl Mankiewicz | Chiropractor | 14 Laurel Dr, Elberton, GA 30635 | 2006-10-17 |
| 1194991349 | Denise Vernall Clark | Emergency Medical Technician, Intermediate | 258 S Thomas Street, Elberton, GA 30635 | 2008-05-07 |
| 1215106422 | City of Angels | Non-emergency Medical Transport (VAN) | 258 S Thomas Street, Elberton, GA 30635-0000 | 2008-02-22 |
| 1982964821 | Suzanne Peers Moore | Counselor | 93 Carey St, Elberton, GA 30635-1435 | 2012-05-25 |
| 1770985285 | Sache Hood | Pharmacist | 215 Atlantic St, Elberton, GA 30635-1512 | 2014-09-16 |
| Find all providers in zip 30635 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730459074 | L Allen Host Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 843 Lincoln Hts, Elberton, GA 30635-2234 | 2012-01-04 |
| 1043580384 | K Gibss Host Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1435 Jody Hall Dr, Elberton, GA 30635-4510 | 2012-01-04 |
| 1831469170 | B Allen Host Ahome | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1540 Jones Ferry Rd, Elberton, GA 30635-4449 | 2012-01-04 |
| 1275803660 | The House of Refuge | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 112 Lake Forest Dr, Elberton, GA 30635-1829 | 2012-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764925 | Calveina Forde | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 538 Country Lake Dr, Mcdonough, GA 30252-2683 | 2020-09-10 |
| 1730715814 | Tyler Rose | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 116 South Mill Creek Court, Woodstock, GA 30188 | 2020-03-20 |
| 1023677713 | Earlean Blackwell | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1865 Waldrep Cir Se, Marietta, GA 30060-4927 | 2019-06-06 |
| 1629535216 | Carpenter Host Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 806 Grady Ave N, Douglas, GA 31533-4812 | 2019-03-01 |
| 1700354859 | View Point Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 160 Longstreet Cir, Oxford, GA 30054-2244 | 2018-11-07 |
| 1760950901 | View Point Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2116 Tudor Castle Cir, Decatur, GA 30035-2158 | 2018-11-06 |
| 1144747437 | Willie Mae Berry Pugh | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2013 Teal Court, Hephzibah, GA 30815 | 2017-08-28 |
| 1881116721 | Springhill Manor Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 600 Spring Hill Drive, Covington, GA 30016 | 2017-07-12 |
| 1093175283 | Peaceful River Residential Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 746 Rudgate Rd, Columbus, GA 31904-2929 | 2016-03-01 |
| 1548649494 | Prestige Community Living Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2328 Bigwood Trl, Atlanta, GA 30349-9049 | 2015-05-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.