1. Home
  2. Directory
  3. Georgia
  4. Thomasville
  5. Community Based Residential Treatment Facility Intellectual And Or Developmental Disabilities
  6. NPI Profile

SOUTHWESTERN STATE HOSPITAL
NPI 1770665838
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Thomasville, GA

Active since October 19, 2006
213 N MARTIN LUTHER KING JR DR, COMMUNITY MEDICAID WAIVER HOME, THOMASVILLE, GA 31792(229) 227-2977(229) 227-2955 Get Directions Write a Review

NPPES record last updated: August 19, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southwestern State Hospital NPPES

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

SOUTHWESTERN STATE HOSPITAL (NPI 1770665838) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Thomasville, Georgia and active in the NPI registry since October 2006. The organization lists Hilary J Hoo-you, Regional Hospital Administrator, as its authorized official.

NPPES Registry Identity

NPI1770665838
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameDEPARTMENT OF BEHAVIORAL HEALTH & DEVELOPMENTAL DISABILITIES
Location Address213 N MARTIN LUTHER KING JR DR, COMMUNITY MEDICAID WAIVER HOMEThomasville, GA 31792-6320
Mailing AddressPo Box 1378, Patient Billing DeptThomasville, GA 31799-1378 · (229) 227-2977 · Fax (229) 227-2955
Phone(229) 227-2977
Fax(229) 227-2955
Organization SubpartNo
Authorized OfficialHilary J Hoo-youRegional Hospital Administrator · (229) 227-3021
Enumeration DateOctober 19, 2006
Last NPPES UpdateAugust 19, 2009
✔ NPI 1770665838 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
License✔ Licensed in GA · 136-01-076-1
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
213 N MARTIN LUTHER KING JR DR, Thomasville, GA 31792
Open in Google Maps ↗

Other Names 1

Other NameSouthwestern State Hospital

Other Identifiers 1

Medicaid000877236RGA

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.

SOUTHWESTERN STATE HOSPITAL
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
213 N MARTIN LUTHER KING JR DR, COMMUNITY MEDICAID WAIVER HOME MRWP
THOMASVILLE, GA 31792
Thomas County (229) 227-2977
GEORGIA PINES COMMUNITY SERVICE BOARD
Community/Behavioral Health
213 N MARTIN LUTHER KING JR DR
THOMASVILLE, GA 31792
Thomas County (229) 227-5476

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 Department Of Behavioral Health & Developmental Disabilities's NPI number?

The NPI number for Department Of Behavioral Health & Developmental Disabilities is 1770665838. It was assigned to this organization in the NPPES registry on October 19, 2006. The provider is also known as Southwestern State Hospital.

Where is Department Of Behavioral Health & Developmental Disabilities located?

Department Of Behavioral Health & Developmental Disabilities is located at 213 N Martin Luther King Jr Dr Community Medicaid Waiver Home, Thomasville, GA 31792. The listed phone number is (229) 227-2977.

What is Department Of Behavioral Health & Developmental Disabilities'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 Department Of Behavioral Health & Developmental Disabilities was last updated on August 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.