WONDER YEARS PCH
NPI 1225354624
Day Training, Developmentally Disabled Services in Conyers, GA

Active since April 12, 2010
3321 OLD SALEM RD SE, CONYERS, GA 30013(770) 860-1320 Get Directions Write a Review

NPPES record last updated: April 12, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wonder Years Pch NPPES

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

WONDER YEARS PCH (NPI 1225354624) is a healthcare organization registered as a day training, developmentally disabled services in Conyers, Georgia and active in the NPI registry since April 2010. The organization lists Angela B Tillman, Owner, as its authorized official.

NPPES Registry Identity

NPI1225354624
Entity TypeOrganization
Primary Taxonomy251C00000X
Legal Business NameWONDER YEARS PCH
Location Address3321 OLD SALEM RD SEConyers, GA 30013-2224
Mailing Address3321 Old Salem Rd SeConyers, GA 30013-2224 · (770) 860-1320
Organization SubpartNo
Authorized OfficialAngela B TillmanOwner · (773) 354-3040
Enumeration DateApril 12, 2010
NPI 1225354624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code251C00000X
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.
3321 OLD SALEM RD SE, Conyers, GA 30013

Other Identifiers 1

Medicaid124269217AGA

Other Providers at the Same Location NPPES

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

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
3321 OLD SALEM RD SE
CONYERS, GA 30013

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 Wonder Years Pch's NPI number?

The NPI number for Wonder Years Pch is 1225354624. It was assigned to this organization in the NPPES registry on April 12, 2010.

Where is Wonder Years Pch located?

Wonder Years Pch is located at 3321 Old Salem Rd SE, Conyers, GA 30013. The listed phone number is (770) 860-1320.

What is Wonder Years Pch'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 Wonder Years Pch was last updated on April 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.