Department of Behavioral Health and Developmental Disabilities
NPI 1699000703ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Gracewood, GA
Intermediate Care Facility, Intellectual Disabilities in Gracewood, Georgia, registered in NPPES in October 2009. The authorized official on file is Paul Brock, Regional Hospital Administrator.
Overview
| NPI | 1699000703 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 7, 2009 |
| Last updated in NPPES | May 20, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | 2-121-792 | GA |
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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