P Praxis·MD
● Active Type 2 · Organization

Mount Eagle Wings Personal Care Home, Inc

Custodial Care Facility·Martinez, GA· NPI 1619204906 · Enumerated 2009 · 16 years on NPI
Mount Eagle Wings Personal Care Home, Inc is 1 of 176 custodial care facility organizations in Georgia.
NPI age
16 years
Enumerated 2009-11-08
Primary specialty
Custodial Care Facility
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Reese
Owner/administratot
Last NPPES update
2009-11-08
Source: monthly bulk 2026-05

How this organization compares

Across 176 active custodial care facility providers in Georgia.

NPI age
16 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 19% of peers with subspecialties

NPI lifetime · 2009 → 2026

2009-11Enumerated in NPPES
2009 2026

Where they practice

Primary practice location
4027 Prescott Dr
Martinez, GA 309074308
📞 7062849959
Mailing address
4027 Prescott Dr
Martinez, GA 309074308
📞 7062849959

Authorized official

Venna Reese
Owner/administratot
📞 7062849959

Individual providers at this organization

1 individual provider on file at this primary practice address.

  • Venna Reese, HEALTH PROFESSION Clinic/Center NPI 1659607661

Specialties

  • Custodial Care Facility Primary
    A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in...
    taxonomy 311ZA0620X
  • Custodial Care Facility
    A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets,...
    taxonomy 311Z00000X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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