GEORGIA DEPT OF HUMAN RESOURCES


Address: 2030 Ingleside Ave, Macon, GA 31204-2028
Phone: 4784458182

GEORGIA DEPT OF HUMAN RESOURCES (NPI# 1508988270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508988270
Entity Type Organization
Organization Name GEORGIA DEPT OF HUMAN RESOURCES
Other Organization Name CENTRAL CARE (2030 INGLESIDE AVE)
Practice Address 2030 Ingleside Ave
Macon
GA 31204-2028
Mailing Address 647 Swint Ave
Milledgeville
GA 31062-7525
Practice Telephone 4784458182
Mailing Telephone 4784458182
Enumeration Date 2007-04-04
Last Update Date 2020-08-22
Authorized Official Name MR. GEORGE HARRIS (DIRECTOR)
Authorized Official Telephone 4784458182
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Central Care (2030 Ingleside Ave) Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1285837179 Georgia Dept of Human Resources Community Based Residential Treatment Facility, Mental Illness 157 Edwards St Se, Milledgeville, GA 31061-3976 2007-06-07
1588717904 Georgia Dept of Human Resources Community Based Residential Treatment Facility, Mental Illness 865 North Ave, Macon, GA 31211-1809 2007-01-19
1518010859 Georgia Dept of Human Resources Community Based Residential Treatment Facility, Mental Illness 352 St Paul St, Macon, GA 31204 2007-01-19
1275649410 Georgia Dept of Human Resources Intermediate Care Facility, Mentally Retarded 2125 Vinson Hwy, Milledgeville, GA 31062-7525 2006-08-21
1073626347 Georgia Dept of Human Resources Intermediate Care Facility, Mental Illness 189 Boone Cir, Milledgeville, GA 31062-7525 2006-08-17
1871606178 Georgia Dept of Human Resources Intermediate Care Facility, Mentally Retarded 451 Boland Cir, Milledgeville, GA 31062-7525 2006-08-17
1508979881 Georgia Dept of Human Resources Community Based Residential Treatment Facility, Mental Illness 220 E Charlton St, Milledgeville, GA 31061-2906 2006-08-17
1346353075 Georgia Dept of Human Resources Intermediate Care Facility, Mentally Retarded 171 Allen Rd, Milledgeville, GA 31062-7525 2006-08-16
1780797415 Georgia Dept of Human Resources Community Based Residential Treatment Facility, Mental Illness 117 Oglethorpe Ave Sw, Milledgeville, GA 31061-4639 2006-08-16
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

Office Location

Street Address 2030 INGLESIDE AVE
City MACON
State GA
Zip Code 31204-2028

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942775085 Amy Lynn Miller Counselor 890 Northwoods Plaza/burrus Road, Macon, GA 31204 2018-10-04
1275056566 Kenyada Moss Counselor 762 Thurmond Dr., Macon, GA 31204 2017-07-19
1508303876 Amber Foster Counselor 890 Northwoods Plaza, Macon, GA 31204 2017-01-25
1952757585 Sarah Vanselous Spencer Speech-Language Pathologist 2720 Sheraton Dr # D-140, Macon, GA 31204 2016-05-12
1952706343 Matthew Wayne Frazier Pharmacist 4260 Log Cabin Dr, Macon, GA 31204 2014-10-28
1215338587 Sharon Yvette Flewellen Licensed Practical Nurse 1876 Moore Street, Macon, GA 31204 2014-09-05
1336565647 Accel Wellness Center, LLC Specialist 3083 Vineville Avenue, Macon, GA 31204 2014-03-11
1821439811 Irene Gung Ho Physician Assistant 3203 Vineville Ave Ste A, Macon, GA 31204 2013-07-08
1518125657 Jennifer Burns Marriage & Family Therapist 116 Pierce Avenue, Macon, GA 31204 2008-05-27
1255599346 Methodist Home of The South Georgia Conference, Inc. Voluntary or Charitable 304 Pierce Avenue, Macon, GA 31204 2008-05-27
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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316248156 Loving Care Personal Community Based Residential Treatment Facility, Mental Illness 117 Lindsey Ct, Macon, GA 31206-3933 2010-11-10
1588717904 Georgia Dept of Human Resources Community Based Residential Treatment Facility, Mental Illness 865 North Ave, Macon, GA 31211-1809 2007-01-19
1518010859 Georgia Dept of Human Resources Community Based Residential Treatment Facility, Mental Illness 352 St Paul St, Macon, GA 31204 2007-01-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1417561747 Georgia Regional Health LLC Community Based Residential Treatment Facility, Mental Illness 1211 Waterville Ct, Alpharetta, GA 30022-5381 2020-09-03
1275161192 Monte Nido Georgia LLC Community Based Residential Treatment Facility, Mental Illness 124 Johnson Ferry Rd Ne, Sandy Springs, GA 30328-3004 2020-03-27
1811464035 Hope Homes Recovery, LLC Community Based Residential Treatment Facility, Mental Illness 432 Virginia Rd, Atlanta, GA 30338-4793 2018-10-25
1770066029 New Beginnings PCh of Columbus, LLC Community Based Residential Treatment Facility, Mental Illness 639 Lawyers Ln, Columbus, GA 31906-3812 2018-09-12
1588140859 Butterfly Development, LLC Community Based Residential Treatment Facility, Mental Illness 1911 Grayson Highway, Suite 8-242, Grayson, GA 30017 2018-07-19
1326555210 Clayton Center Mhaddd Community Based Residential Treatment Facility, Mental Illness 5930 Highway 85 Unit 101, Riverdale, GA 30274-1502 2018-01-02
1245747138 Clayton Center Mhaddd Community Based Residential Treatment Facility, Mental Illness 5930 Highway 85 Unit 104, Riverdale, GA 30274-1502 2018-01-02
1235646217 Clayton Center Mhaddd Community Based Residential Treatment Facility, Mental Illness 5930 Highway 85 Unit 401, Riverdale, GA 30274-1502 2017-12-29
1528574431 House of Concrete Roses, LLC Community Based Residential Treatment Facility, Mental Illness 1133 Huff Rd Nw Apt 766, Atlanta, GA 30318-4327 2017-12-15
1508391756 Mister Life Coach Community Based Residential Treatment Facility, Mental Illness 3681 N Decatur Rd Apt R11, Decatur, GA 30032-1062 2017-04-25
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Competitor

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City MACON
Zip Code 31204

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Dataset Information

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.

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