HABERSHAM RETREAT, INC
NPI 1306990452
Clinic/Center - Adult Day Care in Baldwin, GA
About Habersham Retreat, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HABERSHAM RETREAT, INC (NPI 1306990452) is a healthcare organization registered as an adult day care in Baldwin, Georgia and active in the NPI registry since January 2007. The organization holds 2 active CLIA laboratory certificates and lists Brad L Moore, C.e.o., as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 11D0963970
Habersham Retreat Assisted Living #1 · Baldwin, GACertificate of Waiver 11D0963972
Habersham Retreat Adult Day Care · Baldwin, GAFrequently 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 Habersham Retreat, Inc's NPI number?
The NPI number for Habersham Retreat, Inc is 1306990452. It was assigned to this organization in the NPPES registry on January 23, 2007.
Where is Habersham Retreat, Inc located?
Habersham Retreat, Inc is located at 258 Park Ave, Baldwin, GA 30511. The listed phone number is (706) 778-1749.
What is Habersham Retreat, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.
Does Habersham Retreat, Inc hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Habersham Retreat, Inc was last updated on November 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Habersham Retreat, Inc · NPI 1306990452
Adult Day Care organization in Baldwin, Georgia. Organization record, active in the CMS NPPES registry since January 23, 2007.
## Identity
- **NPI:** 1306990452 (Entity type: Organization)
- **Enumerated:** January 23, 2007
- **Primary specialty:** Clinic/Center - Adult Day Care · taxonomy 261QA0600X
- **Organization subpart:** No
- **Authorized official:** Brad Moore, C.E.O.
## Practice location
- **Address:** 258 PARK AVE, Baldwin, GA 30511-2329
- **Phone:** (706) 778-1749
## Record status
- **NPPES last updated:** November 14, 2017
- **Other identifiers:** Medicaid 00316346B (GA); Medicaid 00316346F (GA); Medicaid 00316346E (GA); and 3 more
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1306990452) · Data from the CMS NPPES public registry.