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CARPENTER HOST HOME
NPI 1629535216
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Douglas, GA

Active since March 01, 2019
806 GRADY AVE N, DOUGLAS, GA 31533(912) 449-7100 Get Directions Write a Review

NPPES record last updated: March 1, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carpenter Host Home NPPES

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

CARPENTER HOST HOME (NPI 1629535216) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Douglas, Georgia and active in the NPI registry since March 2019. The organization lists Laura Michelle Simpson, Manager, as its authorized official.

NPPES Registry Identity

NPI1629535216
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameCARPENTER HOST HOME
Location Address806 GRADY AVE NDouglas, GA 31533-4812
Mailing Address1007 Mary StWaycross, GA 31503-3823 · (912) 449-7111
Phone(912) 449-7100
Organization SubpartYesParent: Unison Behavioral Health
Authorized OfficialLaura Michelle SimpsonManager · (912) 449-7109
Enumeration DateMarch 1, 2019
✔ NPI 1629535216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
806 GRADY AVE N, Douglas, GA 31533
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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 Carpenter Host Home's NPI number?

The NPI number for Carpenter Host Home is 1629535216. It was assigned to this organization in the NPPES registry on March 1, 2019.

Where is Carpenter Host Home located?

Carpenter Host Home is located at 806 Grady Ave N, Douglas, GA 31533. The listed phone number is (912) 449-7100.

What is Carpenter Host Home's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Carpenter Host Home was last updated on March 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.