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NPI 1417647413 · Intellectual Disabilities Intermediate Care Facility · Buford, GA
Provider details
- NPI number
- 1417647413
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Marcia Weeks, Executive Director(678) 887-3907
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Case Management Agency251B00000X
Agencies
- Home Health Agency251E00000X
Agencies
- Community Based Hospice Care Agency251G00000X
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
Respite Care Facility
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
115 E Main St
Buford, GA 30518-5727
Phone: (678) 887-3907
Street-level locationGet directions
Mailing address
780 James Ridge Dr
Lawrenceville, GA 30045-6800
Registry dates
- Enumerated
- 2023-05-11
- Last updated
- 2023-05-11
- Certified
- 2023-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.