Hattie Clay Oliver Pch
NPI 1104194307 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Mableton, GA
Hattie Clay Oliver Pch is a Intellectual and/or Developmental Disabilities Residential Treatment Facility organization in Mableton, GA (NPI 1104194307).
Provider details
- NPI number
- 1104194307
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- James Ford, Ceo(770) 575-0582
- License
- PCH005570 (GA)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense PCH005570 (GA)
Residential Treatment Facilities
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000XLicense PCH005570 (GA)
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-12-02
- Last updated
- 2011-12-06
Frequently asked questions
- What is Hattie Clay Oliver Pch's NPI number?
- Hattie Clay Oliver Pch's National Provider Identifier (NPI) is 1104194307, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Hattie Clay Oliver Pch?
- Hattie Clay Oliver Pch is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Residential Treatment Facility (Residential Treatment Facilities).
- Where is Hattie Clay Oliver Pch located?
- Hattie Clay Oliver Pch's practice location on file with NPPES is 418 Vinings Vintage Cir, Mableton, GA 30126-7208.
- What is Hattie Clay Oliver Pch's phone number?
- The practice phone number listed in the NPPES registry for Hattie Clay Oliver Pch is (770) 575-0582.
- Who is the authorized official for Hattie Clay Oliver Pch?
- The authorized official listed on Hattie Clay Oliver Pch's NPPES record is James Ford, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Hattie Clay Oliver Pch's NPI active?
- Yes — Hattie Clay Oliver Pch's NPI (1104194307) is active in the NPPES registry as of the last update on 2011-12-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.