SOUTHERN GROUP HOMES, LLC
Community/Behavioral Health

Address: 5450 Platte Dr, Ellenwood, GA 30294-6667

SOUTHERN GROUP HOMES, LLC (NPI# 1033424171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033424171
Entity Type Organization
Organization Name SOUTHERN GROUP HOMES, LLC
Practice Address 5450 Platte Dr
Ellenwood
GA 30294-6667
Practice Telephone 7704729113
Mailing Address Po Box 228
Easley
SC 29641-0228
Mailing Telephone 7704729113
Mailing Fax Number 7702161658
Enumeration Date 2010-08-13
Last Update Date 2010-08-13
Authorized Official Telephone 8649795397
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Office Location

Street Address 5450 PLATTE DR
City ELLENWOOD
State GA
Zip Code 30294-6667

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1770124323 Lula Varist Gholson Counselor Christian Counselor Ma Lou Gholson, 549 Lamar Drive, Forest Park, GA 30294 2019-10-04
1609428176 Tykechia Todd Ambulance 3644 Caseys Cove, Ellenwood, GA 30294 2019-07-15
1891285243 Ayana Aqila Thornton Nurse Practitioner 5654 Hosea Court, Ellenwood, GA 30294 2018-05-11
1346748837 Kakethia S. Mack Nurse Practitioner · Family 4124 Bosenberry Way, Ellenwood, GA 30294 2018-01-30
1851819312 Tatiana Marcus Prosthetist 3895 Busby Mill Ct., Ellenwood, GA 30294 2017-09-05
1962944991 Fairview Urgent Care, LLC Clinic/Center · Urgent Care 4475 West Village Pkwy, Ellenwood, GA 30294 2016-11-08
1982006169 Kristal Cure Licensed Practical Nurse 4057 Madiosn Court, Ellenwood, GA 30294 2014-09-19
1801233515 1st Class Learning and Performing Arts Local Education Agency (LEA) 5474 Platte Dr, Ellenwood, GA 30294 2013-06-04
1235480138 Life Wellness Group of Atlanta Home Delivered Meals 145 Wilhemina Drive, Ellenwood, GA 30294 2012-10-02
1346548450 William K Holley IIi Counselor · Professional 2732 Holly Berry Dr, Ellenwood, GA 30294 2011-03-14
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225432792 Eleanor Brown Williams 864 Clark Dr, Ellenwood, GA 30294-2654 2014-10-13
1972803310 K's House 5556 Shoshone Pass, Ellenwood, GA 30294-6677 2010-11-02
1144539149 New Horizon Group Homes Inc 1999 Smithfield Ave, Ellenwood, GA 30294-1638 2010-09-25
1679888713 Integra Group Homes, LLC 5566 Platte Dr, Ellenwood, GA 30294-6656 2010-08-13
1942515085 Total Care Group Homes, LLC 5570 Platte Dr, Ellenwood, GA 30294-6656 2010-08-13
1003145574 A Better You, LLC 416 Midway Pt, Ellenwood, GA 30294-2980 2009-12-13
1154658656 Global Counseling & Consulting Services 5863 Sunflower Ct, Ellenwood, GA 30294-3890 2009-11-04
1477747244 Divinity Sentiments Inc 4328 Clevemont Rd, Ellenwood, GA 30294-1329 2007-09-05
1467645044 Harvestlodge Homes and Services for Children and Families 4187 Connor Dr., Ellenwood, GA 30294 2007-08-27
1063603413 Abba House Human Development and Resources Center of Ga, Inc. · America's Hope and Help Rehabilitation Services, Inc. 110 Tasha Cir, Ellenwood, GA 30294-3046 2007-08-09
Find all providers in ELLENWOOD

Competitor

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City ELLENWOOD
Zip Code 30294

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.