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MAIN STREET RESIDENTIAL LIVING
NPI 1568974285
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Thomaston, GA

Active since November 03, 2017
615 W MAIN ST, THOMASTON, GA 30286(912) 658-9238 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2018, Nov 3, 2017 (2 updates tracked since 2017).

About Main Street Residential Living NPPES

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

MAIN STREET RESIDENTIAL LIVING (NPI 1568974285) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Thomaston, Georgia and active in the NPI registry since November 2017. The organization lists Chrystal York, Owner/administrator, as its authorized official.

NPPES Registry Identity

NPI1568974285
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameMAIN STREET RESIDENTIAL LIVING
Location Address615 W MAIN STThomaston, GA 30286-3580
Mailing AddressPo Box 3469Peachtree City, GA 30269-7469
Phone(912) 658-9238
Organization SubpartNo
Authorized OfficialChrystal YorkOwner/administrator · (912) 658-9238
Enumeration DateNovember 3, 2017
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
✔ NPI 1568974285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
615 W MAIN ST, Thomaston, GA 30286
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Other Names 2

Doing Business AsMain Street Residential Living
Doing Business AsMain St

Other Providers at the Same Location NPPES 2

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

S&Y PERSONAL CARE HOME
Clinic/Center (Adult Mental Health)
615 W MAIN ST
THOMASTON, GA 30286
Upson County (706) 647-9389
S&Y PERSONAL CARE HOME
Community Based Residential Treatment Facility, Mental Illness
615 W MAIN ST
THOMASTON, GA 30286
Upson County (706) 647-9389

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 Main Street Residential Living's NPI number?

The NPI number for Main Street Residential Living is 1568974285. It was assigned to this organization in the NPPES registry on November 3, 2017. The provider is doing business as Main St.

Where is Main Street Residential Living located?

Main Street Residential Living is located at 615 W Main St, Thomaston, GA 30286. The listed phone number is (912) 658-9238.

What is Main Street Residential Living's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Main Street Residential Living was last updated on June 16, 2018. 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.