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MENTAL RETARDATION WAVIER PROGRAM
NPI 1083809040
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Columbus, GA

Active since September 12, 2007
2100 COMER AVE., COLUMBUS, GA 31904(706) 596-5583(706) 596-5589 Get Directions Write a Review

NPPES record last updated: September 12, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mental Retardation Wavier Program NPPES

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

MENTAL RETARDATION WAVIER PROGRAM (NPI 1083809040) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Columbus, Georgia and active in the NPI registry since September 2007. The organization lists Perry Alexander, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083809040
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameMENTAL RETARDATION WAVIER PROGRAM
Location Address2100 COMER AVE.Columbus, GA 31904
Mailing Address1325 Sandusky DrColumbus, GA 31907-3964 · (706) 596-5544
Phone(706) 596-5583
Fax(706) 596-5589
Organization SubpartYesParent: New Horizons Community Service Board
Authorized OfficialPerry AlexanderCeo · (706) 596-5582
Enumeration DateSeptember 12, 2007
✔ NPI 1083809040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
2100 COMER AVE., Columbus, GA 31904
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANA BARRINEAU SST II
Counselor
2100 COMER AVE.
COLUMBUS, GA 31904
Muscogee County (706) 596-5764
ASANTE SHIPP HILTS DRPH, MPH
Health Educator
2100 COMER AVE.
COLUMBUS, GA 31904
Muscogee County (706) 321-6108

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 Mental Retardation Wavier Program's NPI number?

The NPI number for Mental Retardation Wavier Program is 1083809040. It was assigned to this organization in the NPPES registry on September 12, 2007.

Where is Mental Retardation Wavier Program located?

Mental Retardation Wavier Program is located at 2100 Comer Ave., Columbus, GA 31904. The listed phone number is (706) 596-5583.

What is Mental Retardation Wavier Program's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Mental Retardation Wavier Program was last updated on September 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.