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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
Street Address |
500 JOHN DEERE RD NW |
City | MONROE |
State | GA |
Zip Code | 30656-4769 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Find all providers in zip 30656 |
Taxonomy Code | 322D00000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Emotionally Disturbed Children |
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. |
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 |
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 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on THE SANCTUARY HOUSE, INC.
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.