MENTAL RETARDATION WAIVER PROGRAM – Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility, NPI 1740475805

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

MENTAL RETARDATION WAIVER PROGRAM is a healthcare provider. based in Columbus, Georgia. specializing in Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility. The NPI Number for MENTAL RETARDATION WAIVER PROGRAM is 1740475805

Main info

Organization
Name
MENTAL RETARDATION WAIVER PROGRAM
NPI
1740475805
Phone
(706) 596-5583
Address
2100 COMER AVE
Authorized Official
PERRY ALEXANDER CEO
Enumeration Date
12 September 2007
Last Update Date
12 September 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:18State licenses:0Digital endpointsOther names

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Provider Addresses for MENTAL RETARDATION WAIVER PROGRAM

  • Columbus Health Department, 2100, Comer Avenue, Rose Hill, Columbus, Muscogee County, Georgia, 31904, United States

    COLUMBUS, GA 319048725

    Phone: (706) 596-5583

    Fax: (706) 596-5589

    Mailing address matches the actual address.

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.

This can happen when there are no reportable CMS Open Payments records.

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 ·

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

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

Insurance plans in this area (ZIP 31904)

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Reviews

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Frequently asked questions

Does MENTAL RETARDATION WAIVER PROGRAM share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MENTAL RETARDATION WAIVER PROGRAM uses 1740475805.
Does the file indicate MENTAL RETARDATION WAIVER PROGRAM is practicing under active NPI?
Directory data currently reports MENTAL RETARDATION WAIVER PROGRAM as active.
What is MENTAL RETARDATION WAIVER PROGRAM's specialty?
The listing groups MENTAL RETARDATION WAIVER PROGRAM with Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility. Clinical services aligned with this taxonomy classification.
What address line appears for MENTAL RETARDATION WAIVER PROGRAM?
MENTAL RETARDATION WAIVER PROGRAM's geographic hint is Columbus, Georgia in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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