P Praxis·MD
● Active Type 2 · Organization

New Domus Personal Care, Llc

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities·College Park, GA· NPI 1639377385 · Enumerated 2007 · 18 years on NPI
New Domus Personal Care, Llc is 1 of 300 community based residential treatment facility, intellectual and/or developmental disabilities organizations in Georgia.
NPI age
18 years
Enumerated 2007-07-04
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
Smith
Ceo
Last NPPES update
2016-08-26
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
18 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-07Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
2650 Colonial Dr
College Park, GA 303374923
📞 4042099296
Mailing address
6229 Johnson Rd
Riverdale, GA 302741806
📞 7709966588fax 7709978240

Authorized official

Jackie Othella Smith
Ceo
📞 7709966588

Specialties

  • Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Primary
    A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
    GA license #060-01-256-2 taxonomy 320900000X

Identifiers

TypeValueNotes
05 (GA) 112615323A

Practice context

Single-site organization. Only one practice location on file.

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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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