PEACE IN YOUNG LIFE CENTER, INC.
NPI 1447447362
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Calhoun, GA
- Organization
- Community Based Residential Treatment Fa...
About PEACE IN YOUNG LIFE CENTER, INC.
This page provides the complete NPI Profile along with additional information for Peace In Young Life Center, Inc., a provider established in Calhoun, Georgia operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1447447362 assigned on September 2007. The practitioner's primary taxonomy code is 320900000X with license number 064010111 (GA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Marchelle Mitzi Gaines (Ceo/owner)
- NPI
- 1447447362 Verify this NPI
- Provider Name
- PEACE IN YOUNG LIFE CENTER, INC.
- Entity Type
- Organization
- Location Address
- 717 E LINE ST CALHOUN, GA 30701
- Location Phone
- (706) 629-2212
- Location Fax
- (706) 629-2213
- Mailing Address
- 717 E LINE ST CALHOUN, GA 30701
- Mailing Phone
- (706) 629-2212
- Mailing Fax
- (706) 629-6613
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-25-2007
- Last Update Date
- 02-16-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320900000X
- Type
- Residential Treatment Facilities
- License No.
- 064010111
- License State
- GA
- Taxonomy Description
- A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| ========= | OTHER (01) | MI | EIN |
| 007422496A | MEDICAID (05) | GA |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447447362, enumerated as an "organization" on September 25, 2007.
The provider is located at 717 E LINE ST CALHOUN, GA 30701 and the phone number is (706) 629-2212.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
