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NPI 1275863383ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Stone Mountain, GA
Intermediate Care Facility, Intellectual Disabilities in Stone Mountain, Georgia, registered in NPPES in January 2010. The authorized official on file is Diane Charles, Ceo.
Overview
| NPI | 1275863383 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 12, 2010 |
| Last updated in NPPES | Jan 12, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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