Collective Communities Incorporated

LBN: Collective Communities Incorporated
Collective Communities Incorporated is an health care organization with primary practice located at 217 Arrowhead Blvd Unit 81 , Jonesboro GA 30236-1169. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Collective Communities Incorporated can be contacted via phone (770) 648-5293, or through Echols, Shawndra Jovan via phone (770) 648-5293.

Contact Information

Primary practice address
217 Arrowhead Blvd Unit 81 Jonesboro GA 30236-1169
Phone: (770) 648-5293
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Echols, Shawndra Jovan
Phone: (770) 648-5293

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1376241471
LBN Legal business name Collective Communities Incorporated
DBA Doing business as
Authorized official Echols, Shawndra Jovan
Entity Organization
Organization subpart 1 No
Enumeration date Feb 17th, 2023
Last updated Feb 17th, 2023 - 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 1376241471 NPPES
Georgia MEDICAID 003231691A
Georgia MEDICAID 003227996B
Georgia MEDICAID 003227996A

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