COBB COUNTY COMMUNITY SERVICES BOARD (NPI# 1316089600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316089600 |
| Entity Type | Organization |
| Organization Name | COBB COUNTY COMMUNITY SERVICES BOARD |
| Practice Address |
1930 Veterans Memorial Hwy Austell GA 30168-3612 |
| Mailing Address |
3830 S Cobb Dr Se Suite 300 Smyrna GA 30080-5532 |
| Practice Telephone | 7709481411 |
| Mailing Telephone | 7704295000 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TOD CITRON (CEO) |
| Authorized Official Telephone | 7704295000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00603512B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295870376 | Cobb County Community Services Board | Community/Behavioral Health | 825 Powder Springs St, Apt 701, Marietta, GA 30064-3665 | 2007-02-20 |
| 1720120033 | Cobb County Community Services Board | Day Training, Developmentally Disabled Services | 2051 Greenridge Rd Se, Smyrna, GA 30080-1116 | 2007-02-13 |
| 1720120504 | Cobb County Community Services Board | Day Training, Developmentally Disabled Services | 4715 Lewis Rd, Powder Springs, GA 30127-3130 | 2007-02-12 |
| 1104966977 | Cobb County Community Services Board | Community/Behavioral Health | 3024 Hicks Rd Sw, Marietta, GA 30060-6261 | 2007-02-08 |
| 1033259023 | Cobb County Community Services Board | Community/Behavioral Health | 331 N Marietta Pkwy Ne, Marietta, GA 30060-1457 | 2007-02-07 |
| 1346380375 | Cobb County Community Services Board | Community/Behavioral Health | 825 Powder Spring Road, Apt 702 703, Marietta, GA 30064 | 2007-02-07 |
| 1376682088 | Cobb County Community Services Board | Community/Behavioral Health | 6133 Love St, Austell, GA 30168-4711 | 2007-02-06 |
| 1912047572 | Cobb County Community Services Board | Community/Behavioral Health | 5400 S Cobb Dr Se, Smyrna, GA 30080-7421 | 2007-02-06 |
| 1841339579 | Cobb County Community Services Board | Community/Behavioral Health | 505 Commerce Park Dr Se, Suite A, Marietta, GA 30060-2744 | 2007-02-06 |
| 1154460871 | Cobb County Community Services Board | Community/Behavioral Health | 1650 County Services Pkwy Sw, Marietta, GA 30008-4010 | 2007-02-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COBB COUNTY COMMUNITY SERVICES BOARD | 3830 S Cobb Dr Ste 300, Smyrna, GA 30080-5535 |
| Street Address |
1930 VETERANS MEMORIAL HWY |
| City | AUSTELL |
| State | GA |
| Zip Code | 30168-3612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891204392 | Niquetta Adell Flowers | Counselor | 6621 Crossing Creek Pt., Austell, GA 30168 | 2017-09-27 |
| 1215456637 | Rashanda Knight | Occupational Therapist | 6581 Coventry Point, Austell, GA 30168 | 2017-09-18 |
| 1750757431 | Fragments Ministry Inc. | Transportation Broker | 5793 James Road, Austell, GA 30168 | 2015-08-17 |
| 1851443303 | Kathleen S Jarboe | Registered Nurse | 1707 North Blairs Bridge Road, Austell, GA 30168 | 2007-01-17 |
| 1104975648 | Deborah Bryan | Social Worker | 6133 Love Street, Austell, GA 30168 | 2007-01-10 |
| 1982252250 | Yosefa Stokes | Nurse Practitioner | 1707 North Blairs Bridge Road, Austell, GA 30168 | 2019-08-29 |
| 1255840989 | K&n Compression Therapy Services, LLC | Durable Medical Equipment & Medical Supplies | 3915 Cascade Rd, Atlanta, GA 30168 | 2017-09-26 |
| 1205049285 | William M Battles | Psychiatry & Neurology | 1707 North Blairs Bridge Road, Austell, GA 30168 | 2007-05-07 |
| 1427198878 | Douglas County Community Services Board | Community/Behavioral Health | 1707 North Blairs Bridge Road, Austell, GA 30168 | 2007-02-07 |
| 1942381363 | Aleah Hudson Morrow | Counselor | 2710 Jefferson St, Ste 6, Austell, GA 30168 | 2006-10-19 |
| Find all providers in zip 30168 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482397 | A Better Life Together, Inc | Day Training, Developmentally Disabled Services | 3343 Woodshade Drive, Loganville, GA 30052 | 2020-09-18 |
| 1225643653 | Auesome Achiever LLC | Day Training, Developmentally Disabled Services | 601 Alcovy St, Monroe, GA 30655-2145 | 2020-09-11 |
| 1457962797 | Southeastern Support Care Services LLC | Day Training, Developmentally Disabled Services | 3523 Fuller St, Columbus, GA 31907-2554 | 2020-08-11 |
| 1548870363 | Heart Helping Hands, LLC | Day Training, Developmentally Disabled Services | 1919 Singer Way, Lithonia, GA 30058-5578 | 2020-08-06 |
| 1073121646 | Jo Anne Ragsdale | Day Training, Developmentally Disabled Services | 4916 Lake Park Ln, Acworth, GA 30101-6253 | 2020-07-20 |
| 1447877683 | Jeremy's Place Inc. | Day Training, Developmentally Disabled Services | 4910 Jonesboro Rd Ste 201, Union City, GA 30291-2087 | 2020-07-04 |
| 1457970626 | The J&r Group Ga I Nc. | Day Training, Developmentally Disabled Services | 1910 Wood Valley Rd, Macon, GA 31211-1619 | 2020-04-08 |
| 1497307425 | Bobby Dodd Institute | Day Training, Developmentally Disabled Services | 2120 Marietta Blvd Nw, Atlanta, GA 30318-2122 | 2019-07-10 |
| 1619537453 | Cherryl Miller | Day Training, Developmentally Disabled Services | 1499 Ravenel Rd, Conley, GA 30288-2226 | 2019-06-14 |
| 1821555913 | Community Service Board of Middle Georgia | Day Training, Developmentally Disabled Services | 1444 Morgan Creek Dr, Eastman, GA 31023 | 2019-02-25 |
| 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.