BREA DECATUR LLC NPI 1174859904

NPI Information

NPI: 1174859904
Provider Name: BREA DECATUR LLC

Doing Business As: COURT AT DECATUR

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
475 IRVIN CT
DECATUR, GA
ZIP 30030
Phone: (404) 299-6600
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BREA DECATUR LLC 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. BREA DECATUR LLC NPI is 1174859904. The provider is registered as an organization entity type.
The provider Is Doing Business As Court At Decatur.

The provider's business location address is:

475 IRVIN CT
DECATUR, GA
ZIP 30030-717
Phone: (404) 299-6600

The provider's authorized official is Noelle Bickel .
The authorized official title is Licensing Specialist and has the following contact phone number (206) 298-2909.

The enumeration date for this NPI number is 10/29/2009 and was last updated on 10/29/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	311500000X	Alzheimer Center (Dementia Center)		044-03-241	GEORGIA	No
2	310400000X	Assisted Living Facility		044-03-241	GEORGIA	Yes

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

NPI Synchronization or Removal

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