Mental Retardation Wavier Program
NPI 1639364045 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Columbus, GA
Mental Retardation Wavier Program is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Columbus, GA (NPI 1639364045).
Provider details
- NPI number
- 1639364045
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- New Horizons Communtiy Service Board
- Organization subpart
- Yes
- Authorized official
- Perry Alexander, Ceo(706) 596-5582
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
- 2007-09-10
- Last updated
- 2007-09-10
Frequently asked questions
- What is Mental Retardation Wavier Program's NPI number?
- Mental Retardation Wavier Program's National Provider Identifier (NPI) is 1639364045, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mental Retardation Wavier Program?
- Mental Retardation Wavier Program is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Mental Retardation Wavier Program located?
- Mental Retardation Wavier Program's practice location on file with NPPES is 2100 Comer Ave, Columbus, GA 31904-8725.
- What is Mental Retardation Wavier Program's phone number?
- The practice phone number listed in the NPPES registry for Mental Retardation Wavier Program is (706) 596-5583.
- Who is the authorized official for Mental Retardation Wavier Program?
- The authorized official listed on Mental Retardation Wavier Program's NPPES record is Perry Alexander, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mental Retardation Wavier Program's NPI active?
- Yes — Mental Retardation Wavier Program's NPI (1639364045) is active in the NPPES registry as of the last update on 2007-09-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.