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PHILPOT PERSONAL CARE HOME NPI 1255525952


NPI Information

NPI: 1255525952
Provider Name: PHILPOT PERSONAL CARE HOME

Doing Business As: ATLANTA RESIDENTIAL CARE HOME

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
4760 CASCADE RD SW
ATLANTA, GA
ZIP 30331
Phone: (404) 505-7585
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PHILPOT PERSONAL CARE HOME is a community based residential treatment facility, intellectual and/or developmental disabilities in Atlanta, GA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. PHILPOT PERSONAL CARE HOME NPI is 1255525952. The provider is registered as an organization entity type.
The provider Is Doing Business As Atlanta Residential Care Home.

The provider's business location address is:

4760 CASCADE RD SW
ATLANTA, GA
ZIP 30331-348
Phone: (404) 505-7585
Fax: (404) 699-9807

The provider's authorized official is Sheryl Ann Glass .
The authorized official title is Administrator and has the following contact phone number (404) 625-1688.

The enumeration date for this NPI number is 9/5/2007 and was last updated on 9/5/2007.


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
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessGEORGIANo
2385H00000XRespite CareGEORGIANo
3385HR2055XRespite CareRespite Care, Mental Illness, ChildGEORGIANo
4320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesGEORGIAYes

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: 4/28/2024

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