Provider Demographics
NPI:1346704541
Name:TOTAL CARE GROUP HOMES, LLC
Entity Type:Organization
Organization Name:TOTAL CARE GROUP HOMES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:FLORA
Authorized Official - Middle Name:L
Authorized Official - Last Name:TOWNSEND
Authorized Official - Suffix:
Authorized Official - Credentials:PSY D
Authorized Official - Phone:256-431-3422
Mailing Address - Street 1:1405 12TH ST
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:AL
Mailing Address - Zip Code:35611-4105
Mailing Address - Country:US
Mailing Address - Phone:256-232-2331
Mailing Address - Fax:713-583-7030
Practice Address - Street 1:15181 YORK LN
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:AL
Practice Address - Zip Code:35611-7022
Practice Address - Country:US
Practice Address - Phone:256-431-3422
Practice Address - Fax:713-583-7030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-22
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health