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OVERCOMERS YOUTH RESIDENTIAL HOME
NPI 1417647413
Intermediate Care Facility, Intellectual Disabilities in Buford, GA

Active since May 11, 2023
115 E MAIN ST, BUFORD, GA 30518(678) 887-3907 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Overcomers Youth Residential Home NPPES

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

OVERCOMERS YOUTH RESIDENTIAL HOME (NPI 1417647413) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Buford, Georgia and active in the NPI registry since May 2023. The organization lists Marcia Weeks, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1417647413
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameOVERCOMERS YOUTH RESIDENTIAL HOME
Location Address115 E MAIN STBuford, GA 30518-5727
Mailing Address780 James Ridge DrLawrenceville, GA 30045-6800
Phone(678) 887-3907
Organization SubpartNo
Authorized OfficialMarcia WeeksExecutive Director · (678) 887-3907
Enumeration DateMay 11, 2023
NPPES CertifiedMay 11, 2023
✔ NPI 1417647413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedHome HealthTaxonomy 251E00000X
Also ListedHospice Care, Community BasedTaxonomy 251G00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedRespite Care · Respite Care, Intellectual and/or Developmental DisabilitiesTaxonomy 385HR2060X
115 E MAIN ST, Buford, GA 30518
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Other Providers at the Same Location NPPES 4

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

YAHMAH HEALTHCARE
In Home Supportive Care
115 E MAIN ST
BUFORD, GA 30518
Gwinnett County (404) 478-8832
PHOENIX HAVEN AFRICA INC.
Personal Emergency Response Attendant
115 E MAIN ST
BUFORD, GA 30518
Gwinnett County (470) 593-8438
INSIGHT WELLNESS CENTER LLC
Clinic/Center
115 E MAIN ST
BUFORD, GA 30518
Gwinnett County (334) 552-1366
GRACE COUNSELING SERVICES LLC
Counselor (Professional)
115 E MAIN ST
BUFORD, GA 30518
Gwinnett County (678) 753-7200

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 Overcomers Youth Residential Home's NPI number?

The NPI number for Overcomers Youth Residential Home is 1417647413. It was assigned to this organization in the NPPES registry on May 11, 2023.

Where is Overcomers Youth Residential Home located?

Overcomers Youth Residential Home is located at 115 E Main St, Buford, GA 30518. The listed phone number is (678) 887-3907.

What is Overcomers Youth Residential Home's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Overcomers Youth Residential Home was last updated on May 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.