OrganizationActive
Southwestern State Hospital
NPI 1629150776 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Thomasville, GA
Provider details
- NPI number
- 1629150776
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Hilary Hoo-You, Regional Hospital Administrator(229) 227-3021
- License
- 136-01-076-1 (GA)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 136-01-076-1 (GA)
Residential Treatment Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
113 Cove Landing Dr
Community Medicaid Waiver Home Rts
Thomasville, GA 31792-3884
Phone: (229) 227-2977
Fax: (229) 227-2955
Street-level locationGet directions
Mailing address
Po Box 1378
Thomasville, GA 31799-1378
Registry dates
- Enumerated
- 2006-10-19
- Last updated
- 2009-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.