✓ Licensed & Credentialed Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (320900000X) ✓ HHS OIG Screened Clear 🏢 Entity Type 2 (Organization)

ALLISON SMITH HOST HOME (NPI #1407191430)

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities • WINDER, GA • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1407191430
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
320900000X
Licensed & Credentialed Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Box 32 Service Location & ZIP+4
402 ARROWHATCHEE DR, WINDER, GA, 30680-3689
✓ 9-Digit EDI 837 ZIP+4 (30680-3689)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1407191430 (ALLISON SMITH HOST HOME) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1407191430 (NPI-2 Organization / Facility)
Provider / Legal NameALLISON SMITH HOST HOME
Plain-English SpecialtyLicensed & Credentialed Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
NUCC Code: 320900000X (Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address402 ARROWHATCHEE DR, WINDER, GA, 30680-3689
Practice Telephone / FaxTel: (706) 389-6789
Administrative Mailing Address250 NORTH AVE, ATHENS, GA, 30601-2244
Enumeration & Last SyncEnumerated: 2012-12-03 | CMS Record Updated: 2012-12-03
Authorized OfficialGLENN BUTLER (Billing Mgr)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

402 ARROWHATCHEE DR, WINDER, GA, 30680-3689

🗺️ Open in Google Maps 🏥 More Providers in WINDER

Plain-English Taxonomy & CMS Crosswalk (320900000X)

What Does Taxonomy Code 320900000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 320900000X translates to:
"Licensed & Credentialed Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ALLISON SMITH HOST HOME)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
320900000X — Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Plain English: Licensed & Credentialed Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
State: N/A | License: Verified | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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