ALLEGIANT SERVICE LLC NPI 1316279557

NPI Information

  • NPI: 1316279557
  • Provider Name: ALLEGIANT SERVICE LLC
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Address: 4323 JUNEBERRY CT
    DECATUR, GA
    ZIP 30034
  • Phone: (678) 491-6215

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NPI Details

ALLEGIANT SERVICE LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Decatur, 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. ALLEGIANT SERVICE LLC NPI is 1316279557. The provider is registered as an organization entity type.

The provider's business location address is:

4323 JUNEBERRY CT
DECATUR, GA
ZIP 30034-425
Phone: (678) 491-6215
Fax: (770) 558-1580

The provider's authorized official is Mary Ann Ferguson .
The authorized official title is Administrator and has the following contact phone number (678) 491-6215.

The enumeration date for this NPI number is 2/12/2010 and was last updated on 2/12/2010.

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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities126168557AGEORGIAYes

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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