SOUTHERN LIVING ACADEMY PCH INC. (NPI# 1780104059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780104059 |
| Entity Type | Organization |
| Organization Name | SOUTHERN LIVING ACADEMY PCH INC. |
| Practice Address |
4225 Alton Strret Columbus GA 31903 |
| Mailing Address |
4225 Alton St Columbus GA 31903-2322 |
| Practice Telephone | 7065362889 |
| Mailing Telephone | 7065362889 |
| Mailing Fax Number | 7628212274 |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2017-06-27 |
| Authorized Official Name | MRS. ANDREA SHEILDS (EXECTIVE DIRECTOR) |
| Authorized Official Telephone | 7065362889 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 177F00000X | Lodging | Other Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
4225 ALTON STRRET |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902348980 | Stephen Bible | Technician, Other | 113 Mosley Dr, Columbus, OH 31903 | 2016-11-08 |
| 1720501448 | Charlene Elise Baltimore | Counselor | 2100 Comer Ave, Columbus, GA 31903 | 2017-07-25 |
| 1770759052 | Soyini A. Fletcher | Dentist | 1600 Fort Benning Road, Columbus, GA 31903 | 2008-05-06 |
| 1689008740 | Heavener Dialysis LLC | Clinic/Center | 2401 Shelby St, Columbus, GA 31903-0000 | 2013-08-26 |
| 1124255955 | Brenda Gail Robinson | Licensed Practical Nurse | 2703 Dawson St, Columbus, GA 31903-1342 | 2009-06-19 |
| 1871931923 | Hope of Columbus, Inc. | Assisted Living Facility | 47 30th Ave, Columbus, GA 31903-1734 | 2013-06-11 |
| 1013382670 | Michael V Williams Jr. | Counselor | 3110 Clay St, Columbus, GA 31903-1926 | 2015-12-08 |
| 1114130374 | Jeffery Winfred Raney | Social Worker | 740 Winston Rd, Columbus, GA 31903-1940 | 2007-05-07 |
| 1326519489 | Sabrina Marie Hailey | Contractor | 3390 N Lumpkin Rd Apt 1108, Columbus, GA 31903-2120 | 2018-12-16 |
| 1912505736 | Patrick Banks | Case Management | 3390 N Lumpkin Rd Apt 1108, Columbus, GA 31903-2120 | 2020-10-14 |
| Find all providers in zip 31903 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473529 | Susan M Baker, Lcsw Inc | Community/Behavioral Health | 404 Washington St Ste 201-2, Columbus, IN 47201-6791 | 2020-10-04 |
| 1336753466 | Push for Recovery, LLC | Community/Behavioral Health | 3880 Clime Road, Building 2/suite A, Columbus, OH 43228-3532 | 2020-09-05 |
| 1518576693 | Unit Seven LLC | Community/Behavioral Health | 1743 Lonsdale Rd Apt C, Columbus, OH 43232-2892 | 2020-07-24 |
| 1508481037 | Basecamp Recovery LLC | Community/Behavioral Health | 815 W Broad St Fl 2, Columbus, OH 43222-1464 | 2020-06-10 |
| 1760003420 | Community Alliance for Youth and Adults LLC | Community/Behavioral Health | 2550 Chestnut Oak Way, Columbus, OH 43228-9169 | 2020-05-04 |
| 1659834489 | Transcendent Case Management & Consulting, LLC | Community/Behavioral Health | 3587 Medina Ave, Columbus, OH 43224-3418 | 2019-04-09 |
| 1639634629 | Mind Over Matter Counseling | Community/Behavioral Health | 92 Northwoods Blvd Ste C1, Columbus, OH 43235-4720 | 2019-02-05 |
| 1902360225 | Kara Lynn Mccoy | Community/Behavioral Health | 4289 Highway 78, Columbus, MT 59019-7493 | 2019-01-31 |
| 1891278321 | Everlasting Peace Counseling and Support Services | Community/Behavioral Health | 2210 Wynnton Rd Ste 206, Columbus, GA 31906-5820 | 2018-09-11 |
| 1124517081 | Sunny Watford | Community/Behavioral Health | 2525 Tiller Lane, Ste 110, Columbus, OH 43231 | 2018-05-07 |
| Find all providers in COLUMBUS | ||||
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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.