Provider Type Icon

DPCH LLC NPI 1518183383


NPI Information

NPI: 1518183383
Provider Name: DPCH, LLC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
4818 OLD NATIONAL HWY
COLLEGE PARK, GA
ZIP 30337
Phone: (404) 761-2508
Get Directions

DPCH, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in College Park, GA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. DPCH, LLC NPI is 1518183383. The provider is registered as an organization entity type.

The provider's business location address is:

4818 OLD NATIONAL HWY
COLLEGE PARK, GA
ZIP 30337-233
Phone: (404) 761-2508
Fax: (404) 761-2644

The provider's authorized official is Philip Dembure .
The authorized official title is Chief Operating Officer and has the following contact phone number (404) 761-2508.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 6/24/2008.


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
1251C00000XDay Training, Developmentally Disabled ServicesGEORGIANo
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesGEORGIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000891591AMEDICAIDGEORGIA
2000891591BMEDICAIDGEORGIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.