Dade Personal Care Home (Pch)

LBN: Dade Community Living Arrangement (Cla)
Dade Personal Care Home (Pch) is an health care organization with primary practice located at 1289 Macedonia Church Rd. , Oxford GA 30054-3651. The organization recently has 3 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Nursing Service Related Providers / Nursing Home Administrator, Nursing Service Related Providers / Nurse's Aide. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Dade Community Living Arrangement (Cla) can be contacted via phone (678) 660-3339, or through Walters-Mott, Dian Evadne via phone (678) 768-5997.

Contact Information

Primary practice address
1289 Macedonia Church Rd. Oxford GA 30054-3651
Phone: (678) 660-3339
Fax: (770) 679-5670
Website:
Map and Directions
Authorized official contact:
Name: Walters-Mott, Dian Evadne
Phone: (678) 768-5997

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X Georgia
Nursing Service Related Providers / Nursing Home Administrator 376G00000X 10701-081-1 Georgia
Nursing Service Related Providers / Nurse's Aide 376K00000X CN0028872680 Georgia

Profile Details

NPI number 1780953018
LBN Legal business name Dade Community Living Arrangement (Cla)
DBA Doing business as Dade Personal Care Home (Pch)
Authorized official Walters-Mott, Dian Evadne
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2011
Last updated Dec 15th, 2011 - about 14 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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