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ALTRUS NPI 1013381235


NPI Information

NPI: 1013381235
Provider Name: ALTRUS

Doing Business As: DYNAMIC PERSONAL CARE HOME

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
3363 LUXEMBOURG CIR
DECATUR, GA
ZIP 30034
Phone: (912) 354-6011
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ALTRUS is an assisted living facility in Decatur, GA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. ALTRUS NPI is 1013381235. The provider is registered as an organization entity type.
The provider Is Doing Business As Dynamic Personal Care Home.

The provider's business location address is:

3363 LUXEMBOURG CIR
DECATUR, GA
ZIP 30034-418
Phone: (912) 354-6011

The provider's authorized official is Freda Smith .
The authorized official title is Chief Financial Officer and has the following contact phone number (912) 354-6011.

The enumeration date for this NPI number is 11/27/2015 and was last updated on 11/27/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityGEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1003124965XMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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