MIDDLE FLINT COMMUNITY SERVICE BOARD (NPI# 1528236320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528236320 |
| Entity Type | Organization |
| Organization Name | MIDDLE FLINT COMMUNITY SERVICE BOARD |
| Practice Address |
415 N. Jackson Street Americus GA 31709-3015 |
| Mailing Address |
P.o. Drawer 1348 Americus GA 31709-1348 |
| Practice Telephone | 2299312470 |
| Practice Fax Number | 2299312474 |
| Mailing Telephone | 2299312470 |
| Mailing Fax Number | 2299312474 |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-02-14 |
| Authorized Official Name | PAM DAVIS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2299312470 |
| Is Organization Subpart | Y |
| Parent Organization Name | MIDDLE FLINT AREA COMMUNITY SERVICE BOARD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891963518 | Middle Flint Community Service Board | Community/Behavioral Health | 100 Heads Ave, Americus, GA 31709-3616 | 2008-02-15 |
| 1346418068 | Middle Flint Community Service Board | Community/Behavioral Health | 144 Brannan Ave, Americus, GA 31709-4012 | 2008-02-15 |
| 1366610081 | Middle Flint Community Service Board | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 615 Jackson Ave, Americus, GA 31709-4172 | 2008-02-15 |
| 1447428164 | Middle Flint Community Service Board | Community/Behavioral Health | 696 Mcmath Mill Rd, Americus, GA 31719-8660 | 2008-02-15 |
| 1811165699 | Middle Flint Community Service Board | Community/Behavioral Health | 100 Macon St North, Oglethorpe, GA 31068 | 2008-02-14 |
| 1538337647 | Middle Flint Community Service Board | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 421 Elm Street, Americus, GA 31709-3704 | 2008-02-12 |
| 1982872172 | Middle Flint Community Service Board | Community/Behavioral Health | 106 W 4th Ave, Cordele, GA 31015-3214 | 2008-02-11 |
| 1053589176 | Middle Flint Community Service Board | Community/Behavioral Health | 1404 E Union St, Vienna, GA 31092-7530 | 2008-02-11 |
| 1427226547 | Middle Flint Community Service Board | Community/Behavioral Health | 1310 Southerfield Rd, Americus, GA 31719-8105 | 2008-02-11 |
| 1538337258 | Middle Flint Community Service Board | Community/Behavioral Health | 701 Jackson Ave, Americus, GA 31709-4174 | 2008-02-15 |
| Street Address |
415 N. JACKSON STREET |
| City | AMERICUS |
| State | GA |
| Zip Code | 31709-3015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113668 | Sherita Patricia Green | Non-emergency Medical Transport (VAN) | 397 Brady Road, Americus, GA 31709 | 2020-10-31 |
| 1679199723 | Alitha Lannette Hawkins | Licensed Practical Nurse | 415 Tripp St, Americus, GA 31709 | 2020-06-24 |
| 1346710076 | Julie Howell Horn | Nurse Practitioner | 199a Southland Rd., Americus, GA 31709 | 2018-11-26 |
| 1831667948 | Heather Marie Pickle | Nurse Practitioner | 915 Elmo Street, Americus, GA 31709 | 2018-11-06 |
| 1114442100 | Thunderbolt Trailers, Inc. | Durable Medical Equipment & Medical Supplies | 128 E Forsyth St Unit 6542, Americus, GA 31709 | 2017-08-10 |
| 1083137384 | Lannelle German Wilson | Social Worker | 100 Heads Avenue, Americus, GA 31709 | 2017-07-19 |
| 1386173706 | April Owen | Behavioral Analyst | 302 E Furlow, Americus, GA 31709 | 2017-06-08 |
| 1396274726 | Dionna Shaunta Johnson | Case Manager/Care Coordinator | 211 North Jackson Street, Americus, GA 31709 | 2017-06-08 |
| 1972049377 | Lionel Brown | Nurse Anesthetist, Certified Registered | 211 Elliott, Americus, GA 31709 | 2017-01-10 |
| 1528426400 | Pamela Gordon | Counselor | 411 North Jackson Street, Americus, GA 31709 | 2016-02-05 |
| Find all providers in zip 31709 | ||||
| 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 |
|---|---|---|---|---|
| 1467813485 | Betty Allen | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 303 S Jackson St, Americus, GA 31709-3903 | 2016-03-18 |
| 1366610081 | Middle Flint Community Service Board | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 615 Jackson Ave, Americus, GA 31709-4172 | 2008-02-15 |
| 1538337647 | Middle Flint Community Service Board | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 421 Elm Street, Americus, GA 31709-3704 | 2008-02-12 |
| 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 | ||||
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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.