Waterloo Group Home – Community/Behavioral Health Agency, NPI 1497890214

Waterloo Group Home is a healthcare provider. based in Tucker, Georgia. specializing in Community/Behavioral Health Agency. The NPI Number for Waterloo Group Home is 1497890214

Main info

Organization
Name
Waterloo Group Home
NPI
1497890214
Phone
(770) 270-0160
Address
4200 WATERLOO CIR
Authorized Official
FABIO BRUNO VAN DER MERWE COO
Enumeration Date
20 February 2007
Last Update Date
24 April 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Waterloo Group Home

  • 4200 WATERLOO CIR

    TUCKER, GA 300842237

    Phone: (770) 270-0160

    Fax: (770) 270-0160

    Type: Location

  • 445 WINN WAY FL 4

    DECATUR, GA 300301707

    Phone: (404) 294-3836

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30084)

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Reviews

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Frequently asked questions

Is Waterloo Group Home listed with a National Provider Identifier?
Yes — Waterloo Group Home has NPI 1497890214 on file in the registry.
Would Waterloo Group Home appear as active to a payer?
You can treat Waterloo Group Home as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is Waterloo Group Home?
Waterloo Group Home is associated with Community/Behavioral Health Agency in the directory — Clinical services aligned with this taxonomy classification.
Where in Georgia is Waterloo Group Home registered?
Use Tucker, Georgia as the headline location for Waterloo Group Home here.
Does Waterloo Group Home accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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