ST. MARY'S INDEPENDENT LIVING EXTENSIONS - NPI 1033506712 - Day Training, Developmentally Disabled Services in Lawrenceville, GA

Q: What is St. Mary's Independent Living Extensions's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

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About St. Mary's Independent Living Extensions NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. MARY'S INDEPENDENT LIVING EXTENSIONS (NPI 1033506712) is a healthcare organization registered as a day training, developmentally disabled services in Lawrenceville, Georgia and active in the NPI registry since April 2015. The organization lists Paul Pieper, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1033506712

Entity TypeOrganization

Primary Taxonomy251C00000X

Legal Business NameST. MARY'S INDEPENDENT LIVING EXTENSIONS

Location Address120 GLOSTER RD NW STE 3Lawrenceville, GA 30044-4479

Mailing Address120 Gloster Rd Nw Ste 3Lawrenceville, GA 30044-4479 · (770) 279-5115 · Fax (770) 923-2059

Phone(770) 279-5115

Fax(770) 923-2059

Organization SubpartNo

Authorized OfficialPaul PieperExecutive Director · (770) 279-5115

Enumeration DateApril 21, 2015

✔ NPI 1033506712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies

Taxonomy Code251C00000X

License✔ Licensed in GA · 067-R-0388

Definition

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

120 GLOSTER RD NW STE 3, Lawrenceville, GA 30044

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Other Identifiers 2

Medicaid779876528AGA

Medicaid779876528BGA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Mary's Independent Living Extensions's NPI number?

The NPI number for St. Mary's Independent Living Extensions is 1033506712. It was assigned to this organization in the NPPES registry on April 21, 2015.

Where is St. Mary's Independent Living Extensions located?

St. Mary's Independent Living Extensions is located at 120 Gloster Rd NW Ste 3, Lawrenceville, GA 30044. The listed phone number is (770) 279-5115.

What is St. Mary's Independent Living Extensions's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for St. Mary's Independent Living Extensions was last updated on April 21, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.