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THERESA PATTERSON
NPI 1194568188
Custodial Care Facility - Adult Care Home in Valdosta, GA

Active since June 17, 2024
4664 VIENNA CHURCH RD, VALDOSTA, GA 31605(229) 333-8028 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Theresa Patterson NPPES

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

THERESA PATTERSON (NPI 1194568188) is an individual adult care home provider in Valdosta, Georgia, licensed in Georgia (PCH008346) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1194568188
Entity TypeIndividualFemale
Primary Taxonomy311ZA0620X
Provider Legal NameTHERESA PATTERSON
Location Address4664 VIENNA CHURCH RDValdosta, GA 31605-5524
Mailing Address4664 Vienna Church RdValdosta, GA 31605-5524 · (229) 333-8028
Phone(229) 333-8028
Sole ProprietorYes
Enumeration DateJune 17, 2024
NPPES CertifiedJune 17, 2024
✔ NPI 1194568188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in GA · PCH008346
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
4664 VIENNA CHURCH RD, Valdosta, GA 31605
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Other Names 1

Other Name (5)Mrs. Theresa Walker

Other Providers at the Same Location NPPES

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

MADEAR'S PLACE PERSONAL CARE HOME LLC
Custodial Care Facility (Adult Care Home)
4664 VIENNA CHURCH RD
VALDOSTA, GA 31605
Lowndes County (229) 234-2734

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 Theresa Patterson's NPI number?

The NPI number for Theresa Patterson is 1194568188. It was assigned to this individual provider in the NPPES registry on June 17, 2024. The provider is also known as Mrs. Theresa Walker.

Where is Theresa Patterson located?

Theresa Patterson practices at 4664 Vienna Church Rd, Valdosta, GA 31605. The listed phone number is (229) 333-8028.

What is Theresa Patterson's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Theresa Patterson was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.