M.C. LIBRARY EDUCATION CENTER CORP NPI 1932405677

NPI Information

NPI: 1932405677
Provider Name: M.C. LIBRARY EDUCATION CENTER CORP

Former Legal Business Name: MCLECC

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
2520 PARK CENTRAL BLVD STE C2
322 P O BOX DOUGLASVILLE GA 301333
DECATUR, GA
ZIP 30035
Phone: (678) 508-1068
Get Directions

M.C. LIBRARY EDUCATION CENTER CORP is a community based residential treatment facility, intellectual and/or developmental disabilities in Decatur, 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. M.C. LIBRARY EDUCATION CENTER CORP NPI is 1932405677. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Mclecc.

The provider's business location address is:

2520 PARK CENTRAL BLVD STE C2
322 P O BOX DOUGLASVILLE GA 301333
DECATUR, GA
ZIP 30035-924
Phone: (678) 508-1068
Fax: (678) 248-1716

The provider's authorized official is Clebert Merat .
The authorized official title is Chief Executive Officer and has the following contact phone number (678) 508-1068.

The enumeration date for this NPI number is 1/27/2011 and was last updated on 6/20/2018.

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 State	Primary
1	251C00000X	Day Training, Developmentally Disabled Services			No
2	251T00000X	Program of All-Inclusive Care for the Elderly (PACE) Provider Organization		FLORIDA	No
3	251V00000X	Voluntary or Charitable		GEORGIA	No
4	251V00000X	Voluntary or Charitable		FLORIDA	No
5	305R00000X	Preferred Provider Organization		GEORGIA	No
6	3104A0630X	Assisted Living Facility	Assisted Living, Behavioral Disturbances	GEORGIA	No
7	320700000X	Residential Treatment Facility, Physical Disabilities		FLORIDA	No
8	347E00000X	Transportation Broker		GEORGIA	No
9	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		GEORGIA	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	0	OTHER		0
2	=========	MEDICAID	GEORGIA
3	=========	MEDICAID	FLORIDA

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

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.

« Previous NPI

Next NPI »