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SOUTHWESTERN STATE HOSPITAL
NPI 1922235050
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Thomasville, GA

Active since June 16, 2009
309B SHORELINE DR, COMMUNITY MEDICAID COMP WAIVER HOME, THOMASVILLE, GA 31757(229) 227-2977(229) 227-2955 Get Directions Write a Review

NPPES record last updated: August 21, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Southwestern State Hospital NPPES

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

SOUTHWESTERN STATE HOSPITAL (NPI 1922235050) 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 June 2009. The organization lists Hilary J Hoo-you, Regional Hospital Administrator, as its authorized official.

NPPES Registry Identity

NPI1922235050
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameDEPARTMENT OF BEHAVIORAL HEALTH & DEV. DISABILITIES
Location Address309B SHORELINE DR, COMMUNITY MEDICAID COMP WAIVER HOMEThomasville, GA 31757-2577
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) 227-3020
Enumeration DateJune 16, 2009
Last NPPES UpdateAugust 21, 2009
✔ NPI 1922235050 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.
309B SHORELINE DR, Thomasville, GA 31757
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Other Names 1

Doing Business AsSouthwestern State Hospital

Other Identifiers 1

Medicaid000877236TGA

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 & Dev. Disabilities's NPI number?

The NPI number for Department Of Behavioral Health & Dev. Disabilities is 1922235050. It was assigned to this organization in the NPPES registry on June 16, 2009. The provider is doing business as Southwestern State Hospital.

Where is Department Of Behavioral Health & Dev. Disabilities located?

Department Of Behavioral Health & Dev. Disabilities is located at 309B Shoreline Dr Community Medicaid Comp Waiver Home, Thomasville, GA 31757. The listed phone number is (229) 227-2977.

What is Department Of Behavioral Health & Dev. 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 & Dev. Disabilities was last updated on August 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.