GEORGIA DEPT OF HUMAN RESOURCES NPI 1780797084

NPI Information

NPI: 1780797084
Provider Name: GEORGIA DEPT OF HUMAN RESOURCES

Doing Business As: PIEDMONT HALL

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
451 BOLAND CIR
MILLEDGEVILLE, GA
ZIP 31062
Phone: (478) 445-4128
Get Directions

GEORGIA DEPT OF HUMAN RESOURCES is an intermediate care facility mentally retarded in Milledgeville, GA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. GEORGIA DEPT OF HUMAN RESOURCES NPI is 1780797084. The provider is registered as an organization entity type.
The provider Is Doing Business As Piedmont Hall.

The provider's business location address is:

451 BOLAND CIR
MILLEDGEVILLE, GA
ZIP 31062-525
Phone: (478) 445-4128

The provider's authorized official is Marvin Bailey .
The authorized official title is Regional Hospital Administrator and has the following contact phone number (478) 445-4128.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities				Yes

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
1	00142392A	MEDICAID	GEORGIA

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

NPI Synchronization or Removal

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