PATRON PLACE LLC NPI 1457623308

NPI Information

  • NPI: 1457623308
  • Provider Name: PATRON PLACE LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 1227 ROCKBRIDGE RD STE 208-196
    STONE MOUNTAIN, GA
    ZIP 30087
  • Phone: (770) 573-1076

Map and Directions

Get Directions

NPI Details

PATRON PLACE LLC is an assisted living facility in Stone Mountain, 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. PATRON PLACE LLC NPI is 1457623308. The provider is registered as an organization entity type.

The provider's business location address is:

1227 ROCKBRIDGE RD STE 208-196
STONE MOUNTAIN, GA
ZIP 30087-064
Phone: (770) 573-1076
Fax: (770) 234-5894

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

The enumeration date for this NPI number is 2/7/2012 and was last updated on 2/7/2012.

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
1311Z00000XCustodial Care FacilityPCH006520GEORGIANo
2311ZA0620XCustodial Care FacilityAdult Care HomePCH006520GEORGIANo
3310400000XAssisted Living FacilityPCH006520GEORGIAYes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI