Mildred'S Homeplace Iii
LBN: The Homeplace Shelter Inc.
Mildred'S Homeplace Iii is an health care organization with primary practice located at 612 E Clay St , Thomasville GA 31792-4608. The organization recently has 3 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Transportation Services / Private Vehicle. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty.
The Homeplace Shelter Inc. can be contacted via phone (229) 551-0695, or through Mitchell, Nancy Lee via phone (229) 228-1985.
Contact Information
Primary practice address
612 E Clay St
Thomasville GA 31792-4608
Phone: (229) 551-0695
Fax: (229) 551-0694
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X | 136-01-096-1 | Georgia |
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | 136-01-096-1 | Georgia |
| Transportation Services / Private Vehicle | 347C00000X | 136-01-096-1 | Georgia |
Profile Details
| NPI number | 1346473246 |
|---|---|
| LBN Legal business name | The Homeplace Shelter Inc. |
| DBA Doing business as | Mildred'S Homeplace Iii |
| Authorized official | Mitchell, Nancy Lee |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 26th, 2009 |
| Last updated | Aug 26th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346473246 | NPPES |
| Georgia | Other | 136-01-096-1 | PERSONAL CARE HOME |
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