AIDEN'S PLACE LLC NPI 1316221815

NPI Information

NPI: 1316221815
Provider Name: AIDEN'S PLACE, LLC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
7370 WRIGHT DR
ATLANTA, GA
ZIP 30349
Phone: (770) 573-1076
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AIDEN'S PLACE, LLC 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. AIDEN'S PLACE, LLC NPI is 1316221815. The provider is registered as an organization entity type.

The provider's business location address is:

7370 WRIGHT DR
ATLANTA, GA
ZIP 30349-911
Phone: (770) 573-1076
Fax: (770) 234-5894

The provider's authorized official is Rondine D Gordon .
The authorized official title is Ceo and has the following contact phone number (770) 573-1076.

The enumeration date for this NPI number is 10/3/2011 and was last updated on 10/3/2011.

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	320800000X	Community Based Residential Treatment Facility, Mental Illness		PCH008079	GEORGIA	No
2	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		PCH008079	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: 4/28/2024

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