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STEWART COMMUNITY HOME INC. NPI 1083215842


NPI Information

NPI: 1083215842
Provider Name: STEWART COMMUNITY HOME, INC.
Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization

Specialization: Assisted Living, Mental Illness

CLIA Number: 11D0964136

Address:
1125 15TH ST
COLUMBUS, GA
ZIP 31901
Phone: (706) 507-7030
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STEWART COMMUNITY HOME, INC. is an assisted living and mental illness assisted living facility in Columbus, GA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. STEWART COMMUNITY HOME, INC. NPI is 1083215842. The provider is registered as an organization entity type.

The provider's business location address is:

1125 15TH ST
COLUMBUS, GA
ZIP 31901-219
Phone: (706) 507-7030
Fax: (706) 327-9507

The provider's authorized official is Kara Joelle Vinzant .
The authorized official title is Executive Director and has the following contact phone number (706) 507-7030.

The CLIA number assigned to this NPI record is 11D0964136 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/6/2020 and was last updated on 11/6/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13104A0625XAssisted Living FacilityAssisted Living, Mental IllnessYes

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: 4/28/2024

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