GARDEN GATE (NPI# 1841626140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841626140 |
| Entity Type | Organization |
| Organization Name | GARDEN GATE |
| Practice Address |
852 Tiffany Ln Waycross GA 31503-0155 |
| Mailing Address |
1007 Mary St Waycross GA 31503-3823 |
| Practice Telephone | 9124497861 |
| Practice Fax Number | 9124497060 |
| Mailing Telephone | 9124497111 |
| Mailing Fax Number | 9124497060 |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2013-09-18 |
| Authorized Official Name | ALLEN BROWN (CEO) |
| Authorized Official Telephone | 9124497103 |
| Is Organization Subpart | Y |
| Parent Organization Name | UNISON BEHAVIORAL HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GARDEN GATE | 1147 State Route 17m, Chester, NY 10918-1466 |
| System for Award Management (SAM) Entities | GARDEN GATE APARTMENTS | 2611 Merritt Dr, Greensboro, NC 27407-5604 |
| Colorado Business Entities | Garden Gate Botanic, LLC | 5174 S Laredo Way, Centennial, CO 80015 |
| Washington State Corporations | GARDEN GATE DEVELOPMENT LLC | 2423 Victor St, Bellingham, WA 98225 |
| Oregon Corporations, Companies and Business Names | GARDEN GATE FLORAL & GIFTS LLC | 725 Se 7th St, Gresham, OR 97080 |
| Oregon Corporations, Companies and Business Names | GARDEN GATE FLOWERS | 191 Se 5th Street, Madras, OR 97741 |
| Oregon Corporations, Companies and Business Names | GARDEN GATE FLOWERS AND HERBS | 45 Strome Court, Eugene, OR 97404 |
| Iowa Business Entities | GARDEN GATE FLOWERS, LLC | 15695 S. Delaware Ave., Mason City, IA 50401 |
| Iowa Business Entities | GARDEN GATE GUEST HOUSE, LLC | 520 N Frederick, Oelwein, IA 50662 |
| New York State Corporations | GARDEN GATE HEALTH CARE FACILITY, LLC | 455 Cayuga Road, Suite 200, Buffalo, Ny 14225 |
| Street Address |
852 TIFFANY LN |
| City | WAYCROSS |
| State | GA |
| Zip Code | 31503-0155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770855868 | Bertha Richardsaon | Community/Behavioral Health | 1614 Carswell Ave, Waycross, GA 31503 | 2012-02-03 |
| 1134365893 | Carla Pye Winn | Nurse Practitioner | 1003 Mary St, Waycross, GA 31503 | 2008-12-31 |
| 1801051297 | Unison Behavioral Health | Substance Abuse Rehabilitation Facility | 3455 Harris Road, Waycross, GA 31503 | 2008-07-24 |
| 1073650115 | Unison Behavioral Health | Community/Behavioral Health | 1003 Mary Street, Waycross, GA 31503 | 2007-01-30 |
| 1588701635 | Unison Behavioral Health | Community/Behavioral Health | 2033 Bell Street, Waycross, GA 31503 | 2007-01-30 |
| 1801933957 | Unison Behavioral Health | Day Training, Developmentally Disabled Services | 3201 Harris Road, Waycross, GA 31503 | 2007-01-30 |
| 1902943046 | Unison Behavioral Health | Community/Behavioral Health | 310 Williams Street, Waycross, GA 31503 | 2007-01-30 |
| 1285770578 | Unison Behavioral Health | Community/Behavioral Health | 305 N Nicholls Street, Waycross, GA 31503 | 2007-01-30 |
| 1538223672 | Diversified Resources, Inc. | Case Manager/Care Coordinator | 147 Knight Ave Cir, Waycross, GA 31503 | 2006-12-21 |
| 1669578167 | James Gregory Morris | Dentist | 2458 Memorial Drive, Waycross, GA 31503 | 2006-09-15 |
| Find all providers in zip 31503 | ||||
| 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 |
|---|---|---|---|---|
| 1699185108 | Integral Care Network, LLC | Community/Behavioral Health | 200 N Nicholls St, Waycross, GA 31502-1344 | 2014-05-06 |
| 1730454760 | Thomastine Mcgill | Community/Behavioral Health | 201 N Crawford St, Waycross, GA 31503-3932 | 2012-03-08 |
| 1851663074 | Ernestine Nelson | Community/Behavioral Health | 701 Reed St, Waycross, GA 31501-2931 | 2012-02-03 |
| 1750653978 | Flora Brown | Community/Behavioral Health | 821 Cedar St, Waycross, GA 31501-6410 | 2012-02-03 |
| 1881966018 | Christine Smith | Community/Behavioral Health | 908 Cedar St, Waycross, GA 31501-6440 | 2012-02-03 |
| 1225300452 | Supportive Employment | Community/Behavioral Health | 201 Brunel St, Waycross, GA 31501-2216 | 2012-02-03 |
| 1023380243 | Yvonne Thomas | Community/Behavioral Health | 606 Crescent St, Waycross, GA 31501-6321 | 2012-02-03 |
| 1942572169 | Jane Blalock | Community/Behavioral Health | 709 Carswell Ave, Waycross, GA 31501-4756 | 2012-02-03 |
| 1770855868 | Bertha Richardsaon | Community/Behavioral Health | 1614 Carswell Ave, Waycross, GA 31503 | 2012-02-03 |
| 1417229188 | Ware Cs Now | Community/Behavioral Health | 3201 Harris Rd, Waycross, GA 31503-8956 | 2012-01-27 |
| Find all providers in WAYCROSS | ||||
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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.