NPI age
8 years
Enumerated 2018-05-21
● Active Type 2 · Organization
Subpart
Charles Hall Host Home
Charles Hall Host Home is 1 of 300 community based residential treatment facility, intellectual and/or developmental disabilities organizations in Georgia.
Primary specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Simpson
Billing Manager
Last NPPES update
2018-05-21
Source: monthly bulk 2026-05
How this organization compares
Across 300 active community based residential treatment facility, intellectual and/or developmental disabilities providers in Georgia.
NPI age
8 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2018 → 2026
2018-05Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
1107 Carswell Ave
Waycross, GA 315034854
Mailing address
1007 Mary St
Waycross, GA 315033823
Authorized official
Laura Michelle Simpson
Billing Manager
📞 9124497109
Specialties
-
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities PrimaryA home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Practice context
Single-site organization. Only one practice location on file.
Subpart of Unison Behavioral Health.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.