Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Overcomers Youth Residential Home

Organization Case Management Agency · NPI 1417647413

Overcomers Youth Residential Home is a Case Management Agency in Buford, Georgia. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
6

Practice location Address checks out

115 E Main St
Buford, GA 30518-5727
Phone: (678) 887-3907
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary) Taxonomy 315P00000X
Case Management Agency Taxonomy 251B00000X
Home Health Agency Taxonomy 251E00000X
Community Based Hospice Care Agency Taxonomy 251G00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Child Intellectual and/or Developmental Disabilities Respite Care Taxonomy 385HR2060X

Record details

NPI number1417647413
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marcia Weeks — Executive Director · (678) 887-3907
NPI enumeratedMay 11, 2023
Last updated in NPPESMay 11, 2023
Certification dateMay 11, 2023
Mailing address780 James Ridge Dr, Lawrenceville, GA 30045-6800

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