RUBY HANSON HOST HOME
NPI 1992131189
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Waycross, GA

Active since September 19, 2013
1007 MARY ST, WAYCROSS, GA 31503(912) 449-7109(912) 449-7056 Get Directions Write a Review

NPPES record last updated: September 19, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community Based Residential Treatment Fa...

About RUBY HANSON HOST HOME

This page provides the complete NPI Profile along with additional information for Ruby Hanson Host Home, a provider established in Waycross, Georgia operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1992131189 assigned on September 2013. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Ruby Hanson Host Home. The authorized official of this NPI record is Michelle Simpson (Billing Manager)

NPI
1992131189 Verify this NPI
Provider Legal Name
UNISON BEHAVIORAL HEALTH
Other Organization Name
RUBY HANSON HOST HOME
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1007 MARY ST WAYCROSS, GA 31503
Location Phone
(912) 449-7109
Location Fax
(912) 449-7056
Mailing Address
522 CECIL WAY DOUGLAS, GA 31535
Mailing Phone
(912) 592-5036
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-19-2013
Last Update Date
09-19-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHELLE SIMPSON

Authorized Official Title
BILLING MANAGER
Authorized Official Phone
(912) 449-7109

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Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
1007 MARY ST
WAYCROSS, GA 31503
Psychiatry & Neurology (Psychiatry)
1007 MARY ST
WAYCROSS, GA 31503
Licensed Practical Nurse
1007 MARY ST
WAYCROSS, GA 31503
Registered Nurse (Addiction (Substance Use Disorder))
1007 MARY ST
WAYCROSS, GA 31503
Licensed Practical Nurse
1007 MARY ST
WAYCROSS, GA 31503
Registered Nurse (Addiction (Substance Use Disorder))
1007 MARY ST
WAYCROSS, GA 31503
Licensed Practical Nurse
1007 MARY ST
WAYCROSS, GA 31503
Licensed Practical Nurse
1007 MARY ST
WAYCROSS, GA 31503
Registered Nurse (Addiction (Substance Use Disorder))
1007 MARY ST
WAYCROSS, GA 31503
Registered Nurse (Addiction (Substance Use Disorder))
1007 MARY ST
WAYCROSS, GA 31503
Registered Nurse (Addiction (Substance Use Disorder))
1007 MARY ST
WAYCROSS, GA 31503
Licensed Practical Nurse
1007 MARY ST
WAYCROSS, GA 31503
Licensed Practical Nurse
1007 MARY ST
WAYCROSS, GA 31503
Registered Nurse (Addiction (Substance Use Disorder))
1007 MARY ST
WAYCROSS, GA 31503
Licensed Practical Nurse
1007 MARY ST
WAYCROSS, GA 31503
Licensed Practical Nurse
1007 MARY ST
WAYCROSS, GA 31503
Registered Nurse (Addiction (Substance Use Disorder))
1007 MARY ST
WAYCROSS, GA 31503
Registered Nurse (Addiction (Substance Use Disorder))
1007 MARY ST
WAYCROSS, GA 31503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992131189, enumerated as an "organization" on September 19, 2013.

The provider is located at 1007 MARY ST WAYCROSS, GA 31503 and the phone number is (912) 449-7109.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.