GEORGIA DEPARTMENT OF HUMAN RESOURCES (NPI# 1356586259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356586259 |
| Entity Type | Organization |
| Organization Name | GEORGIA DEPARTMENT OF HUMAN RESOURCES |
| Other Organization Name | CENTRAL CARE (1631 VALLEY CIRCLE) |
| Practice Address |
1631 Valley Cir Milledgeville GA 31062-0001 |
| Practice Telephone | 4784458182 |
| Mailing Telephone | 4784458182 |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2008-12-05 |
| Authorized Official Name | MR. GEORGE HARRIS (DIRECTOR) |
| Authorized Official Telephone | 4784458182 |
| Is Organization Subpart | Y |
| Parent Organization Name | GEORGIA DEPARTMENT OF HUMAN RESOURCES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000355737AL | 05 |
| Other Name | Type Code |
|---|---|
| Central Care (1631 Valley Circle) | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609029925 | Georgia Department of Human Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 138 Swint Ave Se, Milledgeville, GA 31061-3928 | 2008-10-30 |
| 1154597672 | Georgia Department of Human Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 120 Daphney St Se, Milledgeville, GA 31061-4342 | 2008-05-05 |
| 1184895823 | Georgia Department of Human Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 419 Moye Dr, Sandersville, GA 31082-7624 | 2008-03-21 |
| 1841487667 | Georgia Department of Human Resources | General Acute Care Hospital | 2400 Vinson Hwy, Milledgeville, GA 31062-0001 | 2007-09-25 |
| 1679614515 | Georgia Department of Human Resources | Clinic/Center | 1309 Redmond Rd Nw, Rome, GA 30165-1307 | 2007-02-12 |
| 1164583274 | Georgia Department of Human Resources | Case Management | 2 Peachtree St., 9th Fl., Atlanta, GA 30303-3142 | 2006-12-12 |
| 1568530798 | Georgia Department of Human Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3533 Stafford St, Hephzibah, GA 30815-6625 | 2006-12-04 |
| 1366510067 | Georgia Department of Human Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2311 Mura Dr, Augusta, GA 30906-4819 | 2006-12-01 |
| 1629146311 | Georgia Department of Human Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3518 Snowden Dr, Hephzibah, GA 30815-6631 | 2006-12-01 |
| 1912075904 | Georgia Department of Human Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3004 Cromwell Ct, Hephzibah, GA 30815-6212 | 2006-11-30 |
| Street Address |
1631 VALLEY CIR |
| City | MILLEDGEVILLE |
| State | GA |
| Zip Code | 31062-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679758429 | Mary Decruise | Psychologist | 2450 Vinson Hwy, Milledgeville, GA 31062 | 2007-12-28 |
| 1922668169 | Lufti I Yargic | Psychiatry & Neurology | Csh - Cook Building 2450 Vinson Highway, Milledgeville, GA 31062-0001 | 2019-06-19 |
| 1770047276 | Ekrem Dogan | Internal Medicine | 2450 Vinson Highway Cook Building, Milledgeville, GA 31062-0001 | 2019-01-29 |
| 1144703497 | Tara Walker | Nurse Practitioner | Central State Hospital 2450 Vinson Hwy, Milledgeville, GA 31062-0001 | 2018-09-12 |
| 1841487667 | Georgia Department of Human Resources | General Acute Care Hospital | 2400 Vinson Hwy, Milledgeville, GA 31062-0001 | 2007-09-25 |
| 1659369866 | Clinton Wade Hodges | Pharmacist | Csh Pharmaceutical Services, Lawrence Rd., Milledgeville, GA 31062-0001 | 2005-10-11 |
| 1922621184 | Uzma Beg | Psychiatry & Neurology | 2450 Vinson Highway Cook Building, Milledgeville, GA 31062-0001 | 2020-05-22 |
| 1114010485 | Jeffrey D'neil Harris | Psychologist | 2450 Vinson Highway, Milledgeville, GA 31062-1622 | 2006-10-01 |
| 1235527144 | Loukisha Monique Roberts | Registered Nurse | 2450 Vinson Highway, Milledgeville, GA 31062-5641 | 2014-12-30 |
| 1558872515 | Rachel Evans | Specialist/Technologist | 231 W Hancock St, Milledgeville, GA 31062-6156 | 2017-10-18 |
| Find all providers in zip 31062 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609029925 | Georgia Department of Human Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 138 Swint Ave Se, Milledgeville, GA 31061-3928 | 2008-10-30 |
| 1154597672 | Georgia Department of Human Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 120 Daphney St Se, Milledgeville, GA 31061-4342 | 2008-05-05 |
| 1255400545 | Oconee Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1361 Orchard Hill Rd, Milledgeville, GA 31061-2551 | 2006-11-08 |
| 1912910936 | Georgia Dept of Human Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 170 Woodland Cir, Various Other Group Home Addresses, Milledgeville, GA 31061-2463 | 2006-08-14 |
| 1427061548 | Georgia Dept of Human Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2034 N Jefferson St Ne, Various Other Mrwp Group Homes Addresses, Milledgeville, GA 31061-9331 | 2006-08-14 |
| 1649639949 | Oconee Csb | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 131 N Jefferson St Ne, Milledgeville, GA 31061-5513 | 2016-02-15 |
| 1831334515 | Georgia Department of Human Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 620 Broad St, Central Care-yarbrough Bldg-3rd Floor, Milledgeville, GA 31062-7525 | 2008-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385862 | Hickory Log Vocational School Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3680 Highway 411 Ne, White, GA 30184-2427 | 2020-10-28 |
| 1801403050 | Safe Haven Personal Care Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10875 Abercorn St Apt 132, Savannah, GA 31419-1843 | 2020-09-30 |
| 1659987931 | Pinkies Place | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 216 Self St, Warner Robins, GA 31088-5506 | 2020-09-22 |
| 1629680293 | Caregiver Ga, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3736 Executive Center Dr Ste B, Augusta, GA 30907-2360 | 2020-08-17 |
| 1730799073 | Victory Won Counseling and Res Care Prof. Corp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5014 Snapfinger Woods Dr, Decatur, GA 30035-4003 | 2020-08-02 |
| 1811528649 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 211 North Street, Douglas, GA 31533 | 2020-01-30 |
| 1619519709 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 516 Freedom Trl, Brunswick, GA 31525-4712 | 2019-10-10 |
| 1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
| 1467013821 | Csb of East Central Ga | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5101 Parnell Way, Martinez, GA 30907-8896 | 2019-06-26 |
| 1013474915 | Community Service Board of East Central Georgia | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1715 Lawerence Rd, Hephzibah, GA 30815-4445 | 2019-02-27 |
| Find all providers with the same taxonomy | ||||
| City | MILLEDGEVILLE |
| Zip Code | 31062 |
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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.