THE SANCTUARY HOUSE, INC


Address: 500 John Deere Rd Nw, Monroe, GA 30656-4769
Phone: 6784920187

THE SANCTUARY HOUSE, INC (NPI# 1932342235) 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) 1932342235
Entity Type Organization
Organization Name THE SANCTUARY HOUSE, INC
Practice Address 500 John Deere Rd Nw
Monroe
GA 30656-4769
Mailing Address 5631 Tunbridge Wells Rd
Lithonia
GA 30058-5681
Practice Telephone 6784920187
Practice Fax Number 4407945974
Mailing Telephone 6784920187
Mailing Fax Number 4407945974
Enumeration Date 2009-04-16
Last Update Date 2009-04-16
Authorized Official Name MS. LEKEISHA PATRICE BANKS (EXECUTIVE DIRECTOR)
Authorized Official Telephone 6784920187
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children Residential Treatment Facilities

Office Location

Street Address 500 JOHN DEERE RD NW
City MONROE
State GA
Zip Code 30656-4769

Providers in the same zip code

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1679087274 Misty Sue's Adult Day Health Center LLC Clinic/Center 517 Hill St, Monroe, GA 30656-1507 2017-11-20
1285022186 Frances Campbell Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2773 Oakmont Way, Monroe, GA 30656-2702 2014-12-30
1750536819 Magnolia Blooms PCh,llc Clinic/Center 1250 Nicholsville Rd Nw, Monroe, GA 30656-3469 2008-11-17
1821492034 Elizabeth Smith Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1227 Dale Dr, Monroe, GA 30656-3500 2014-10-17
1851868293 Lusi Yang Chiropractor 2311 Shockley Rd Nw, Monroe, GA 30656-3677 2018-10-24
1578733291 Guldmann Southeast Durable Medical Equipment & Medical Supplies 2040 Mount Vernon Rd Nw, Monroe, GA 30656-4360 2008-03-10
1295775955 Susan Gerald Cook Physical Therapist 1045 Old Mill Trce, Monroe, GA 30656-4379 2006-06-08
1871732040 Natalie H Grooms Occupational Therapist 1045 Old Mill Trce, Monroe, GA 30656-4379 2009-02-11
1881770949 Mary Hinch Physical Therapist 1045 Old Mill Trce, Monroe, GA 30656-4379 2006-10-31
1326120932 Activekidz and Adult Therapy Services Physical Therapist 1045 Old Mill Trce, Monroe, GA 30656-4379 2006-10-20
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Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment.
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912476482 Gbc Hope Residential Treatment Facility, Emotionally Disturbed Children 311 South 1st Street, Monroe, LA 71201 2018-11-14
1528564184 House of Judah International, Inc Residential Treatment Facility, Emotionally Disturbed Children 4104 Spurgeon Dr, Monroe, LA 71203-4415 2018-04-03
1184938193 Family Homecare Services Inc Residential Treatment Facility, Emotionally Disturbed Children 100 Serenity Hills, Monroe, NC 28110 2010-08-02
1619157153 North Carolina Children's Place, Inc Residential Treatment Facility, Emotionally Disturbed Children 504 Sunnybrook Dr, Monroe, NC 28110-2719 2007-11-13
1811022718 Fresh Start Youth Services, Inc. Residential Treatment Facility, Emotionally Disturbed Children 2110 Griffith Rd, Monroe, NC 28112-8833 2007-02-22
1386728749 Storm Ridge Ranch Residential Treatment Facility, Emotionally Disturbed Children 95 W 3000 N, Monroe, UT 84754-3270 2006-10-24
1609238096 Timothy Miller Residential Treatment Facility, Emotionally Disturbed Children 215 Bres Ave Ste G, Monroe, LA 71201-5869 2016-03-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023543766 One Heart and One Mind Inc Residential Treatment Facility, Emotionally Disturbed Children 5737 Old National Hwy, Suite 300, Atlanta, GA 30349-7410 2017-05-01
1396131249 There's No Place Like A Loving Home LLC Residential Treatment Facility, Emotionally Disturbed Children 2000 Jardin Ct, Alpharetta, GA 30022-4600 2015-04-07
1912343302 Our Spot Residential Treatment Facility, Emotionally Disturbed Children 1015 E Inman St, Statesboro, GA 30458-2049 2013-05-13
1902163520 Shepherd's Hill Academy, Inc Residential Treatment Facility, Emotionally Disturbed Children 2200 Price Rd, Martin, GA 30557-3457 2012-04-20
1871879312 Vision Youth Services Inc. Residential Treatment Facility, Emotionally Disturbed Children 4228 Redan Rd, Stone Mountain, GA 30083-5040 2011-10-28
1356634034 Soaring Eagle Children's Group Residential Treatment Facility, Emotionally Disturbed Children 3183 Northbrook Dr, Atlanta, GA 30341-4629 2011-05-27
1124330386 Favorable Network Solutions Residential Treatment Facility, Emotionally Disturbed Children 881 Memorial Dr Se, Suite 213, Atlanta, GA 30316-1270 2010-07-04
1467687665 Positive Impact Hhs, Inc. Residential Treatment Facility, Emotionally Disturbed Children 934 Garden Walk Blvd. # 903, College Park, GA 30349-8508 2009-05-18
1417198458 Naciema Corporation Residential Treatment Facility, Emotionally Disturbed Children 3200 Stone Rd Sw Apt W8, Atlanta, GA 30331-2920 2009-03-22
1255594974 Button Up America LLC Residential Treatment Facility, Emotionally Disturbed Children 450 Old Peachtree Road, Suite 101, Suwanee, GA 30042 2008-07-02
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Competitor

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City MONROE
Zip Code 30656

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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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