AMELIA GARDENS INC NPI 1023550407

NPI Information

  • NPI: 1023550407
  • Provider Name: AMELIA GARDENS INC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 576 NICKAJACK RD SW
    MABLETON, GA
    ZIP 30126
  • Phone: (770) 712-4903

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NPI Details

AMELIA GARDENS INC is an assisted living facility in Mableton, 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. AMELIA GARDENS INC NPI is 1023550407. The provider is registered as an organization entity type.

The provider's business location address is:

576 NICKAJACK RD SW
MABLETON, GA
ZIP 30126-419
Phone: (770) 712-4903

The provider's authorized official is Isoken J Onaiwu .
The authorized official title is Owner and has the following contact phone number (770) 712-4903.

The enumeration date for this NPI number is 11/16/2016 and was last updated on 11/16/2016.

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
1310400000XAssisted Living Facility033-02-028-1GEORGIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1003168137AMEDICAIDGEORGIA

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: 11/21/2025

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