WATERLOO GROUP HOME
NPI 1497890214
Community/Behavioral Health in Tucker, GA

Q: What is Dekalb Community Service Board's NPI number?

The NPI number for Dekalb Community Service Board is 1497890214. It was assigned to this organization in the NPPES registry on February 20, 2007. The provider is also known as Waterloo Group Home.

Q: What is Dekalb Community Service Board's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since February 20, 2007

4200 WATERLOO CIR, TUCKER, GA 30084(770) 270-0160(770) 270-0160 Get Directions Write a Review

NPPES record last updated: April 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Waterloo Group Home NPPES

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

WATERLOO GROUP HOME (NPI 1497890214) is a healthcare organization registered as a community/behavioral health in Tucker, Georgia and active in the NPI registry since February 2007. The organization lists Fabio Bruno Van Der Merwe, Coo, as its authorized official.

NPPES Registry Identity

NPI1497890214

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameDEKALB COMMUNITY SERVICE BOARD

Location Address4200 WATERLOO CIRTucker, GA 30084-2237

Mailing Address445 Winn Way Fl 4Decatur, GA 30030-1707 · (404) 294-3836

Phone(770) 270-0160

Fax(770) 270-0160

Organization SubpartYes

Authorized OfficialFabio Bruno Van Der MerweCoo · (404) 294-3836

Enumeration DateFebruary 20, 2007

Last NPPES UpdateApril 24, 2020

NPPES CertifiedApril 24, 2020

✔ NPI 1497890214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

4200 WATERLOO CIR, Tucker, GA 30084

Open in Google Maps ↗

Other Names 1

Other NameWaterloo Group Home

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 Dekalb Community Service Board's NPI number?

The NPI number for Dekalb Community Service Board is 1497890214. It was assigned to this organization in the NPPES registry on February 20, 2007. The provider is also known as Waterloo Group Home.

Where is Dekalb Community Service Board located?

Dekalb Community Service Board is located at 4200 Waterloo Cir, Tucker, GA 30084. The listed phone number is (770) 270-0160.

What is Dekalb Community Service Board's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Dekalb Community Service Board was last updated on April 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.