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COLLECTIVE COMMUNITIES INCORPORATED NPI 1376241471


NPI Information

NPI: 1376241471
Provider Name: COLLECTIVE COMMUNITIES INCORPORATED
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
217 ARROWHEAD BLVD UNIT 81
JONESBORO, GA
ZIP 30236
Phone: (770) 648-5293
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COLLECTIVE COMMUNITIES INCORPORATED is a day training developmentally disabled services in Jonesboro, GA. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. COLLECTIVE COMMUNITIES INCORPORATED NPI is 1376241471. The provider is registered as an organization entity type.

The provider's business location address is:

217 ARROWHEAD BLVD UNIT 81
JONESBORO, GA
ZIP 30236-169
Phone: (770) 648-5293

The provider's authorized official is Shawndra Jovan Echols .
The authorized official title is Managing Director and has the following contact phone number (770) 648-5293.

The enumeration date for this NPI number is 2/17/2023 and was last updated on 2/17/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251C00000XDay Training, Developmentally Disabled ServicesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1003231691AMEDICAIDGEORGIA
2003227996BMEDICAIDGEORGIA
3003227996AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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