GEORGIA DEPT OF HUMAN RESOURCES (NPI# 1780797084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780797084 |
| Entity Type | Organization |
| Organization Name | GEORGIA DEPT OF HUMAN RESOURCES |
| Other Organization Name | PIEDMONT HALL |
| Practice Address |
451 Boland Cir Milledgeville GA 31062-7525 |
| Practice Telephone | 4784454128 |
| Mailing Telephone | 4784454128 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MARVIN BAILEY (REGIONAL HOSPITAL ADMINISTRATOR) |
| Authorized Official Telephone | 4784454128 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00142392A | 05 |
| Other Name | Type Code |
|---|---|
| Piedmont Hall | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285837179 | Georgia Dept of Human Resources | Community Based Residential Treatment Facility, Mental Illness | 157 Edwards St Se, Milledgeville, GA 31061-3976 | 2007-06-07 |
| 1508988270 | Georgia Dept of Human Resources | Community Based Residential Treatment Facility, Mental Illness | 2030 Ingleside Ave, Macon, GA 31204-2028 | 2007-04-04 |
| 1588717904 | Georgia Dept of Human Resources | Community Based Residential Treatment Facility, Mental Illness | 865 North Ave, Macon, GA 31211-1809 | 2007-01-19 |
| 1518010859 | Georgia Dept of Human Resources | Community Based Residential Treatment Facility, Mental Illness | 352 St Paul St, Macon, GA 31204 | 2007-01-19 |
| 1275649410 | Georgia Dept of Human Resources | Intermediate Care Facility, Mentally Retarded | 2125 Vinson Hwy, Milledgeville, GA 31062-7525 | 2006-08-21 |
| 1073626347 | Georgia Dept of Human Resources | Intermediate Care Facility, Mental Illness | 189 Boone Cir, Milledgeville, GA 31062-7525 | 2006-08-17 |
| 1871606178 | Georgia Dept of Human Resources | Intermediate Care Facility, Mentally Retarded | 451 Boland Cir, Milledgeville, GA 31062-7525 | 2006-08-17 |
| 1508979881 | Georgia Dept of Human Resources | Community Based Residential Treatment Facility, Mental Illness | 220 E Charlton St, Milledgeville, GA 31061-2906 | 2006-08-17 |
| 1346353075 | Georgia Dept of Human Resources | Intermediate Care Facility, Mentally Retarded | 171 Allen Rd, Milledgeville, GA 31062-7525 | 2006-08-16 |
| 1780797415 | Georgia Dept of Human Resources | Community Based Residential Treatment Facility, Mental Illness | 117 Oglethorpe Ave Sw, Milledgeville, GA 31061-4639 | 2006-08-16 |
| Street Address |
451 BOLAND CIR |
| City | MILLEDGEVILLE |
| State | GA |
| Zip Code | 31062-7525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871606178 | Georgia Dept of Human Resources | Intermediate Care Facility, Mentally Retarded | 451 Boland Cir, Milledgeville, GA 31062-7525 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679758429 | Mary Decruise | Psychologist | 2450 Vinson Hwy, Milledgeville, GA 31062 | 2007-12-28 |
| 1922668169 | Lufti I Yargic | Psychiatry & Neurology | Csh - Cook Building 2450 Vinson Highway, Milledgeville, GA 31062-0001 | 2019-06-19 |
| 1770047276 | Ekrem Dogan | Internal Medicine | 2450 Vinson Highway Cook Building, Milledgeville, GA 31062-0001 | 2019-01-29 |
| 1144703497 | Tara Walker | Nurse Practitioner | Central State Hospital 2450 Vinson Hwy, Milledgeville, GA 31062-0001 | 2018-09-12 |
| 1356586259 | Georgia Department of Human Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1631 Valley Cir, Milledgeville, GA 31062-0001 | 2008-12-05 |
| 1841487667 | Georgia Department of Human Resources | General Acute Care Hospital | 2400 Vinson Hwy, Milledgeville, GA 31062-0001 | 2007-09-25 |
| 1659369866 | Clinton Wade Hodges | Pharmacist | Csh Pharmaceutical Services, Lawrence Rd., Milledgeville, GA 31062-0001 | 2005-10-11 |
| 1922621184 | Uzma Beg | Psychiatry & Neurology | 2450 Vinson Highway Cook Building, Milledgeville, GA 31062-0001 | 2020-05-22 |
| 1114010485 | Jeffrey D'neil Harris | Psychologist | 2450 Vinson Highway, Milledgeville, GA 31062-1622 | 2006-10-01 |
| 1235527144 | Loukisha Monique Roberts | Registered Nurse | 2450 Vinson Highway, Milledgeville, GA 31062-5641 | 2014-12-30 |
| Find all providers in zip 31062 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (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). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275649410 | Georgia Dept of Human Resources | Intermediate Care Facility, Mentally Retarded | 2125 Vinson Hwy, Milledgeville, GA 31062-7525 | 2006-08-21 |
| 1871606178 | Georgia Dept of Human Resources | Intermediate Care Facility, Mentally Retarded | 451 Boland Cir, Milledgeville, GA 31062-7525 | 2006-08-17 |
| 1346353075 | Georgia Dept of Human Resources | Intermediate Care Facility, Mentally Retarded | 171 Allen Rd, Milledgeville, GA 31062-7525 | 2006-08-16 |
| 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 |
| 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 |
| 1720318843 | Allgood Manor Assistant Home Inc. | Intermediate Care Facility, Mentally Retarded | 6358 Deshong Dr, Lithonia, GA 30058-6123 | 2010-01-12 |
| 1275863383 | Bryana Personal Care Home | Intermediate Care Facility, Mentally Retarded | 6276 Field Glen Rd, Stone Mountain, GA 30087-4911 | 2010-01-12 |
| Find all providers with the same taxonomy | ||||
| City | MILLEDGEVILLE |
| Zip Code | 31062 |
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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.