CARMELA SMITH GRAY HOST HOME
NPI 1164767182
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Bethlehem, GA

Active since December 03, 2012
149 THORN BROOK RD, BETHLEHEM, GA 30620(706) 389-6789 Get Directions Write a Review

NPPES record last updated: December 3, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carmela Smith Gray Host Home NPPES

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

CARMELA SMITH GRAY HOST HOME (NPI 1164767182) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Bethlehem, Georgia and active in the NPI registry since December 2012. The organization lists Glenn Butler, Billing Mgr, as its authorized official.

NPPES Registry Identity

NPI1164767182
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameCARMELA SMITH GRAY HOST HOME
Location Address149 THORN BROOK RDBethlehem, GA 30620-2405
Mailing Address250 North AveAthens, GA 30601-2244
Organization SubpartYesParent: Abhs
Authorized OfficialGlenn ButlerBilling Mgr · (706) 389-6789
Enumeration DateDecember 3, 2012
NPI 1164767182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
149 THORN BROOK RD, Bethlehem, GA 30620

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 Carmela Smith Gray Host Home's NPI number?

The NPI number for Carmela Smith Gray Host Home is 1164767182. It was assigned to this organization in the NPPES registry on December 3, 2012.

Where is Carmela Smith Gray Host Home located?

Carmela Smith Gray Host Home is located at 149 Thorn Brook Rd, Bethlehem, GA 30620. The listed phone number is (706) 389-6789.

What is Carmela Smith Gray Host Home'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 Carmela Smith Gray Host Home was last updated on December 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.