METHODIST HOME FOR CHILDREN AND YOUTH - NPI 1568524882 - Community/Behavioral Health in Macon, GA

Q: What is Methodist Home Of The South Ga Conference's specialty?

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

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About Methodist Home For Children And Youth NPPES

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

METHODIST HOME FOR CHILDREN AND YOUTH (NPI 1568524882) is a healthcare organization registered as a community/behavioral health in Macon, Georgia and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through May 27, 2027 and lists Steve L Rumford, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1568524882

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameMETHODIST HOME OF THE SOUTH GA CONFERENCE

Location Address304 PIERCE AVEMacon, GA 31204-2422

Mailing Address304 Pierce AveMacon, GA 31204-2422 · (478) 751-2800

Phone(478) 751-2800

Organization SubpartNo

Authorized OfficialSteve L RumfordPresident And Ceo · (478) 751-2800

Enumeration DateDecember 14, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1568524882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Licenses✔ Licensed in GA · CI0000012147✔ Licensed in GA · CPA001036✔ Licensed in GA · CI0000011053✔ Licensed in GA · CCI11006✔ Licensed in GA · CI0000012098

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.

304 PIERCE AVE, Macon, GA 31204

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Other Names 1

Other NameMethodist Home For Children And Youth

Other Identifiers 2

Medicaid00271679CGA

Medicaid00927671BGA

CLIA Laboratory Certificates CMS CLIA

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 11D2096605

Methodist Home Of Children And Youth, The · Cataula, GA

Active · expires May 27, 2027

CLIA Number11D2096605

Laboratory TypeBehavioral Health Ctr

Certificate Effective DateMay 28, 2025

Certificate Expiration DateMay 27, 2027

Laboratory DirectorJill M. Stapleton

Laboratory Phone(478) 751-2800

Laboratory LocationMethodist Home Of Children And Youth, The1645 Hunter Rd, Cataula, GA 31804

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

MISS MARY ANGIE MCGUKIN LPC

Counselor (Professional)