KENNETH B WALKER RESIDENTIAL HOME INC (NPI# 1346627460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346627460 |
| Entity Type | Organization |
| Organization Name | KENNETH B WALKER RESIDENTIAL HOME INC |
| Practice Address |
3575 Macon Rd Suite 25 Columbus GA 31907-8200 |
| Practice Telephone | 7069400478 |
| Practice Fax Number | 7069400479 |
| Mailing Telephone | 7069400478 |
| Mailing Fax Number | 7069400479 |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2015-04-28 |
| Authorized Official Name | MR. TIMOTHY CRUMBLEY (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7066811991 |
| Authorized Official Credential | MS, MHP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Street Address |
3575 MACON RD SUITE 25 |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31907-8200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184736092 | Horizons North, Inc. | Social Worker | 3575 Macon Rd, Suite 18, Columbus, GA 31907-8200 | 2006-08-31 |
| 1750743076 | First Step Recovery Counseling Services | Community/Behavioral Health | 3575 Macon Rd, Suite # 12, Columbus, GA 31907-8200 | 2016-03-25 |
| 1033462916 | Harmony Counseling Center LLC | Counselor | 3575 Macon Rd, Suite 18, Columbus, GA 31907-8200 | 2012-10-17 |
| 1639471246 | Melanie De Quadros | Counselor | 3575 Macon Rd, Suite 18, Columbus, GA 31907-8200 | 2010-12-02 |
| 1447491113 | Velocity, Inc. | In Home Supportive Care | 3575 Macon Rd, Suite 23, Columbus, GA 31907-8200 | 2009-03-10 |
| 1891948261 | Monica Faye Sparks | Counselor | 3575 Macon Rd, Suite 13, Columbus, GA 31907-8200 | 2008-10-29 |
| 1003987579 | Lovietta Lyn Campbell | Social Worker | 3575 Macon Rd, Suite 5, Columbus, GA 31907-8200 | 2006-11-13 |
| 1356440119 | Mary Ellen Connett | Marriage & Family Therapist | 3575 Macon Rd, Suite 13, Columbus, GA 31907-8200 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702051 | At Ease Private Home Care, LLC | Home Health | 3906 Pond View Court, Columbus, GA 31907 | 2020-05-20 |
| 1285268219 | Mh 102, PC | Nurse Practitioner | 1 Aflac Parkway, Columbus, GA 31907 | 2020-02-28 |
| 1427602978 | Alicia Keeshan Taylor | Massage Therapist | 5401 Gunboat Dr Unit 31, Columbus, GA 31907 | 2019-08-01 |
| 1285101071 | Valerie Rena Bickham | Chore Provider | 1259 Bismarck Drive, Columbus, GA 31907 | 2018-10-30 |
| 1629555172 | West Georgia Regenerative Medicine LLC | Physical Therapist | 3624 Edgewood Rd Ste B, Columbus, GA 31907 | 2018-07-26 |
| 1659866747 | Transitional Independence, LLC | In Home Supportive Care | 5633 Lexington Dr, Columbus, GA 31907 | 2018-06-29 |
| 1598285892 | Aa Personal Care, LLC | Nursing Care | 547 Moye Rd, Columbus, GA 31907 | 2017-06-27 |
| 1366981573 | Sabrina Renae Crosby Lopes | Counselor | 1120 21st Unit -a, Columbus, GA 31907 | 2017-02-21 |
| 1326445073 | Angela James | Nurse Practitioner | 6400 Flatrock Road, Columbus, GA 31907 | 2014-11-24 |
| 1841617255 | Sabrina Ann Patterson | Community Health Worker | 2726 Courtland, Columbus, GA 31907 | 2014-03-24 |
| Find all providers in zip 31907 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548827751 | Pyramid House LLC | Community Based Residential Treatment Facility, Mental Illness | 6041 Mcnaughten Grove Ln, Columbus, OH 43213-5106 | 2019-05-22 |
| 1770066029 | New Beginnings PCh of Columbus, LLC | Community Based Residential Treatment Facility, Mental Illness | 639 Lawyers Ln, Columbus, GA 31906-3812 | 2018-09-12 |
| 1083067896 | Jaz Boyce | Community Based Residential Treatment Facility, Mental Illness | 592 Wiltshire Rd, Columbus, OH 43204-2429 | 2016-07-16 |
| 1679927974 | Parents Addressing Teen Challenges | Community Based Residential Treatment Facility, Mental Illness | 65 N Powell Ave, Columbus, OH 43204-2618 | 2016-04-22 |
| 1528200227 | Brockton Healthcare Network | Community Based Residential Treatment Facility, Mental Illness | 5701 Spruce Tree Dr, Columbus, OH 43232-7751 | 2009-03-27 |
| 1750840773 | Nationwide Residential Services | Community Based Residential Treatment Facility, Mental Illness | 1150 Morse Rd Ste 110, Columbus, OH 43229-6327 | 2019-03-19 |
| 1285119180 | Maryhaven | Community Based Residential Treatment Facility, Mental Illness | 100 Noe Bixby Rd, Columbus, OH 43213-1460 | 2018-09-27 |
| 1225580608 | Kamilah Muse | Community Based Residential Treatment Facility, Mental Illness | 765 Pierce Dr, Columbus, OH 43223-2425 | 2016-11-01 |
| 1972992816 | Alexia D. Faggins | Community Based Residential Treatment Facility, Mental Illness | 2100 Comer Ave, Columbus, GA 31904-8725 | 2015-01-15 |
| 1104214048 | The Village Network | Community Based Residential Treatment Facility, Mental Illness | 1751 E Long St, Columbus, OH 43203-2045 | 2014-12-30 |
| Find all providers in COLUMBUS | ||||
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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.