BUTLER-BOWDEN PERSONAL CARE HOME, INC


Address: 694 Leighton Way, Stone Mountain, GA 30088-1829
Phone: 7704986381

BUTLER-BOWDEN PERSONAL CARE HOME, INC (NPI# 1740404037) 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) 1740404037
Entity Type Organization
Organization Name BUTLER-BOWDEN PERSONAL CARE HOME, INC
Practice Address 694 Leighton Way
Stone Mountain
GA 30088-1829
Practice Telephone 7704986381
Practice Fax Number 7704139447
Mailing Telephone 7704986381
Mailing Fax Number 7704139447
Enumeration Date 2007-04-11
Last Update Date 2010-06-07
Authorized Official Name MRS. MARGARET J. BOWDEN (DIRECTOR)
Authorized Official Telephone 7704986381
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 315P00000X Intermediate Care Facility, Mentally Retarded 044-01-294-2 GA Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
GA 000917056B 05
GA 000917056A 05

Office Location

Street Address 694 LEIGHTON WAY
City STONE MOUNTAIN
State GA
Zip Code 30088-1829

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1831468818 The Art of Living Cla LLC. Community/Behavioral Health 1668 South Hairston Rd, Stone Mountain, GA 30088 2011-12-21
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Taxonomy Information

Taxonomy Code 315P00000X
Grouping Nursing & Custodial Care Facilities
Classification Intermediate Care Facility, Mentally Retarded

Taxonomy Definition

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225358856 'a' Helping Hand, Inc. Intermediate Care Facility, Mentally Retarded 439 Watson Bay, Stone Mountain, GA 30087-6195 2010-06-05
1427378058 Precious Living Incorporated Intermediate Care Facility, Mentally Retarded 448 Registry Blf, Stone Mountain, GA 30087-6602 2010-06-05
1275863383 Bryana Personal Care Home Intermediate Care Facility, Mentally Retarded 6276 Field Glen Rd, Stone Mountain, GA 30087-4911 2010-01-12
1205205473 Andrea Streeter Intermediate Care Facility, Mentally Retarded 439 Watson Bay, Stone Mountain, GA 30087-6195 2015-09-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326586744 Hand-n-hand PCh Inc. Intermediate Care Facility, Mentally Retarded 125 Janette Ln, Moultrie, GA 31788-7837 2017-02-06
1902232598 Enable of Georgia, Inc. Intermediate Care Facility, Mentally Retarded 1200 Old Ellis Rd, Roswell, GA 30076-3850 2013-09-16
1326392432 Extending Community Services Foundation Intermediate Care Facility, Mentally Retarded 3630 Emerald Pt, Decatur, GA 30034-5739 2012-10-29
1639441421 Smith Personal Care Home 1and 2 Inc Intermediate Care Facility, Mentally Retarded 309 Advance St, Swainsboro, GA 30401-3675 2012-02-08
1609146109 Rainbow Ridge#2,inc. Intermediate Care Facility, Mentally Retarded 181 Rainbow Rdg, Swainsboro, GA 30401-4413 2011-12-31
1427336346 Tranquility PCh, LLC Intermediate Care Facility, Mentally Retarded 3440 Rainbow Dr, Decatur, GA 30034-1807 2011-07-26
1720318843 Allgood Manor Assistant Home Inc. Intermediate Care Facility, Mentally Retarded 6358 Deshong Dr, Lithonia, GA 30058-6123 2010-01-12
1053540260 Nue Beginnings Residence Home Inc Intermediate Care Facility, Mentally Retarded 5183 Suggs St, Powder Springs, GA 30127-3029 2009-07-09
1033236088 Nicekare Inc Intermediate Care Facility, Mentally Retarded 1210b E De Renne Ave, Savannah, GA 31406-2016 2007-03-23
1215072038 Open Arms Care Corporation Intermediate Care Facility, Mentally Retarded 6715 Highway 41, Ringgold, GA 30736-2643 2007-02-20
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Competitor

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City STONE MOUNTAIN
Zip Code 30088

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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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