Wise Choice Residential
NPI 1720319981 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Conyers, GA
Wise Choice Residential is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Conyers, GA (NPI 1720319981).
Provider details
- NPI number
- 1720319981
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Fernando Favors, Owner(678) 409-5882
- License
- 621960416A (GA)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 621960416A (GA)
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
- 2010-01-27
- Last updated
- 2010-01-27
Frequently asked questions
- What is Wise Choice Residential's NPI number?
- Wise Choice Residential's National Provider Identifier (NPI) is 1720319981, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wise Choice Residential?
- Wise Choice Residential is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Wise Choice Residential located?
- Wise Choice Residential's practice location on file with NPPES is 1040 Lake Haynes Dr Ne, Conyers, GA 30012-1519.
- What is Wise Choice Residential's phone number?
- The practice phone number listed in the NPPES registry for Wise Choice Residential is (770) 365-0578.
- Who is the authorized official for Wise Choice Residential?
- The authorized official listed on Wise Choice Residential's NPPES record is Fernando Favors, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wise Choice Residential's NPI active?
- Yes — Wise Choice Residential's NPI (1720319981) is active in the NPPES registry as of the last update on 2010-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.