NPI age
6 years
Enumerated 2020-03-20
● Active
Type 1 · Individual
MR. Tyler Rose
Rose is 1 of 1 residential treatment facility, intellectual and/or developmental disabilities providers in Woodstock and 1 of 168 in Georgia.
Primary specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-03-20
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 168 active residential treatment facility, intellectual and/or developmental disabilities providers in Georgia.
NPI age
6 years
↓ 8 yr below median (14 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties
NPI lifetime · 2020 → 2026
2020-03Enumerated in NPPES
2020
2026
Where they practice
Practice location
116 South Mill Creek Court
Woodstock, GA 30188
Mailing address
116 South Mill Creek Court
Woodstock, GA 30188
Specialties
-
Residential Treatment Facility, Intellectual and/or Developmental Disabilities PrimaryA residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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