Christ The King Day Habilitation Services, Inc.

LBN: Christ The King Day Habilitation Services, Inc.
Christ The King Day Habilitation Services, Inc. is an health care organization with primary practice located at 5155 Scofield Rd , College Park GA 30349-3301. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Day Care, Nursing Service Related Providers / Day Training/Habilitation Specialist. Nursing Service Related Providers / Day Training/Habilitation Specialist is the primary health care specialty. Christ The King Day Habilitation Services, Inc. can be contacted via phone (404) 767-4171, or through Gibson, Augustina via phone (404) 767-4171.

Contact Information

Primary practice address
5155 Scofield Rd College Park GA 30349-3301
Phone: (404) 767-4171
Fax: (404) 559-8804
Website:
Map and Directions
Authorized official contact:
Name: Gibson, Augustina
Phone: (404) 767-4171

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X 20065203 Georgia

Profile Details

NPI number 1518004217
LBN Legal business name Christ The King Day Habilitation Services, Inc.
DBA Doing business as
Authorized official Gibson, Augustina
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2007
Last updated Aug 19th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518004217 NPPES
Georgia MEDICAID 134087992A
Georgia MEDICAID 134087992B

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