OrganizationActive
Georgia Dept of Human Resources
NPI 1912910936 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Milledgeville, GA
Provider details
- NPI number
- 1912910936
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- George Harris, Director(478) 445-8182
- License
- 005-01-026-9 (GA)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 005-01-026-9 (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
170 Woodland Cir
Various Other Group Home Addresses
Milledgeville, GA 31061-2463
Phone: (478) 445-8182
Street-level locationGet directions
Mailing address
647 Swint Ave
Milledgeville, GA 31062-7525
Other names (DBA / former)
- Other name
- Central Care Community Svs Sme
Registry dates
- Enumerated
- 2006-08-14
- Last updated
- 2009-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.