COBB COUNTY COMMUNITY SERVICES BOARD (NPI# 1720120504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720120504 |
| Entity Type | Organization |
| Organization Name | COBB COUNTY COMMUNITY SERVICES BOARD |
| Practice Address |
4715 Lewis Rd Powder Springs GA 30127-3130 |
| Mailing Address |
3830 S Cobb Dr Se Suite 300 Smyrna GA 30080-5532 |
| Practice Telephone | 6785671893 |
| Mailing Telephone | 7704295000 |
| Enumeration Date | 2007-02-12 |
| 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 |
| 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 |
| 1316089600 | Cobb County Community Services Board | Day Training, Developmentally Disabled Services | 1930 Veterans Memorial Hwy, Austell, GA 30168-3612 | 2007-02-13 |
| 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 |
4715 LEWIS RD |
| City | POWDER SPRINGS |
| State | GA |
| Zip Code | 30127-3130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922580935 | Judette Barthelemy | Nurse Practitioner | 5280 Jones Reserve Walk, Powder Springs, GA 30127 | 2018-09-06 |
| 1174049837 | Patricia Anderson | Home Health Aide | 4089 Sweetsprings Terrace Southwest, Powder Springs, GA 30127 | 2017-08-15 |
| 1972028777 | Jonathan J Jones Jr. | Technician | 4089 Sweetsprings Terrace Sw, Powder Springs, GA 30127 | 2017-08-14 |
| 1124575279 | Thomas Jones | Private Vehicle | 3271 Barnwell Trce, Powder Springs, GA 30127 | 2016-09-07 |
| 1194184598 | Francesca Momplaisir | Chiropractor | 4851 Saddlerun Ln, Powder Springs, GA 30127 | 2016-02-15 |
| 1639535073 | Yonide Lareche | Nurse Practitioner | 184 Windriver Trik, Powderspring, GA 30127 | 2016-01-14 |
| 1740607035 | Health Star Home Health Care LLC | Home Health | 2148 Chaseford Ln, Powder Springs, GA 30127 | 2014-03-25 |
| 1073850855 | Charles Cordaro | Pharmacist | 2000 East West Connector, Health Services Center, 1st Floor - Pharmacy, Austell, GA 30127 | 2013-01-14 |
| 1669748539 | Scott Gynecology & Pelvic Surgery, P.C. | Obstetrics & Gynecology | 5041 Dallas Highway, Building 1, Suite G, Powder Springs, GA 30127 | 2012-03-26 |
| 1265706576 | Danielle Olivier Mental Health Services | Community/Behavioral Health | 3468 Hollow Stream Trail, Powder Prings, GA 30127 | 2012-03-05 |
| Find all providers in zip 30127 | ||||
| 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 | ||||
| City | POWDER SPRINGS |
| Zip Code | 30127 |
Please comment or provide details below to improve the information on COBB COUNTY COMMUNITY SERVICES BOARD.
| 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.