SIGNATURE ACTIVITY CENTER (NPI# 1730694639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730694639 |
| Entity Type | Organization |
| Organization Name | SIGNATURE ACTIVITY CENTER |
| Practice Address |
162 Lexington Hts Athens GA 30605-2318 |
| Mailing Address |
Po Box 80044 Athens GA 30608-0044 |
| Practice Telephone | 7062244531 |
| Mailing Telephone | 6784852527 |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2017-12-13 |
| Authorized Official Name | MICHAEL POPE (COO) |
| Authorized Official Telephone | 6784852527 |
| Is Organization Subpart | Y |
| Parent Organization Name | SIGNATURE CARE OF GEORGIA, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 222938820E | 05 |
| Street Address |
162 LEXINGTON HTS |
| City | ATHENS |
| State | GA |
| Zip Code | 30605-2318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811413701 | Lifecare Pharmacy Ga Corp | Pharmacy | 130 Gains School Rd, Athens, GA 30605 | 2017-08-22 |
| 1194245423 | Melissa Brooke Wilson | Speech-Language Pathologist | 345 Research Drive Apartment 76, Athens, GA 30605 | 2017-06-27 |
| 1467982512 | Beth Kay Mcdonald | Counselor | 455 S Lumpkin St, Athens, GA 30605 | 2017-06-12 |
| 1841741063 | Jessica Parker | Specialist | 1060 Gaines School Rd, Suite A4c, Athens, GA 30605 | 2016-10-24 |
| 1417374869 | Northeast Georgia Wellness Associates, LLC | Dietitian, Registered | 1197 Cedar Shoals Drive #103, Athens, GA 30605 | 2014-03-24 |
| 1245571272 | Optimum Medical Healthcare | Durable Medical Equipment & Medical Supplies | 1715 Cedar Shoals Drive, Athens, GA 30605 | 2013-03-15 |
| 1972850709 | Sandra Joy Motte | Occupational Therapy Assistant | 275 Woodgrove Dr, Athens, GA 30605 | 2012-08-10 |
| 1124309851 | Kasey Brown | Social Worker | 188 S. Milledge Ave., Suite 2, Athens, GA 30605 | 2011-09-08 |
| 1154652071 | Chris Mayo Counseling and Psychotherapy, Lcsw, LLC | Social Worker | 135 Milford Dr, Athens, GA 30605 | 2010-01-15 |
| 1700039732 | Andrew Case | Psychologist | 105a Cedar Rock Trace, Suite 5, Athens, GA 30605 | 2008-11-04 |
| Find all providers in zip 30605 | ||||
| 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 |
|---|---|---|---|---|
| 1508401605 | Donna N Harrell | Day Training, Developmentally Disabled Services | 27707 Juanita Dr, Athens, AL 35613-6947 | 2019-11-12 |
| 1780185660 | Bobbie Mims | Day Training, Developmentally Disabled Services | 14966 Highway 9, Athens, LA 71003-3068 | 2018-02-26 |
| 1467662007 | Havar, Inc | Day Training, Developmentally Disabled Services | 227 Columbus Rd, Athens, OH 45701-1335 | 2007-05-23 |
| 1235355421 | Visions of Tomorrow, Inc. | Day Training, Developmentally Disabled Services | 14966 Hwy. 9, Athens, LA 71003 | 2007-04-17 |
| 1609913599 | Tri-county Center | Day Training, Developmentally Disabled Services | 3030 Lee Hwy, Athens, TN 37303-5062 | 2007-01-31 |
| 1487726683 | Hope Haven of Northeast Georgia, Inc. | Day Training, Developmentally Disabled Services | 795 Newton Bridge Rd, Athens, GA 30607-1303 | 2006-11-14 |
| 1417177601 | Visions of Tomorrow, Inc. | Day Training, Developmentally Disabled Services | 14966 Hwy. 9, Athens, LA 71003 | 2007-04-27 |
| 1326268517 | Visions of Tomorrow, Inc. | Day Training, Developmentally Disabled Services | 14966 Hwy. 9, Athens, LA 71003 | 2007-04-27 |
| 1477674364 | Penn York Opportunities for The Handicapped | Day Training, Developmentally Disabled Services | 101 S Main St, Athens, PA 18810-1611 | 2007-04-02 |
| 1023154986 | Hope Haven of Northeast Georgia, Inc. | Day Training, Developmentally Disabled Services | 795 Newton Bridge Rd, Athens, GA 30607-1303 | 2007-01-29 |
| Find all providers in ATHENS | ||||
Please comment or provide details below to improve the information on SIGNATURE ACTIVITY CENTER.
| 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.