Avita Community Partners

LBN: Georgia Mountain Community Services
Avita Community Partners is an health care organization with primary practice located at 2520 W Dennis Dr , Gainesville GA 30507-7495. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Georgia Mountain Community Services can be contacted via phone (678) 513-5720, or through Thompson, Tammy via phone (678) 513-5720.

Contact Information

Primary practice address
2520 W Dennis Dr Gainesville GA 30507-7495
Phone: (678) 513-5720
Fax: (678) 513-5836
Website:
Map and Directions
Authorized official contact:
Name: Thompson, Tammy
Phone: (678) 513-5720

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1164787743
LBN Legal business name Georgia Mountain Community Services
DBA Doing business as Avita Community Partners
Authorized official Thompson, Tammy
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2012
Last updated Jul 10th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164787743 NPPES
Georgia Other 000607054BZ RESIDENTIAL HOME

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