SKYLARK ADH-JOHNS CREEK LLC NPI 1548701006

NPI Information

  • NPI: 1548701006
  • Provider Name: SKYLARK ADH-JOHNS CREEK, LLC
  • Classification: Clinic/Center - 261QA0600X
  • Specialization: Adult Day Care
  • Entity Type: Organization
  • Doing Business As: SKYLARK ADULT DAY CENTER OF JOHNS CREEK
  • Address: 4265 JOHNS CREEK PKWY STE B
    SUWANEE, GA
    ZIP 30024
  • Phone: (770) 476-8400

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NPI Details

SKYLARK ADH-JOHNS CREEK, LLC is an adult day care clinic center in Suwanee, GA. SKYLARK ADH-JOHNS CREEK, LLC NPI is 1548701006. The provider is registered as an organization entity type.
The provider Is Doing Business As Skylark Adult Day Center Of Johns Creek.

The provider's business location address is:

4265 JOHNS CREEK PKWY STE B
SUWANEE, GA
ZIP 30024-038
Phone: (770) 476-8400
Fax: (678) 646-0602

The provider's authorized official is Edwin Howard Morgens .
The authorized official title is Ceo and has the following contact phone number (770) 476-8400.

The enumeration date for this NPI number is 3/16/2017 and was last updated on 3/16/2017.

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
1261QA0600XClinic/CenterAdult Day CareADC000089GEORGIAYes

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
1383600128BMEDICAIDGEORGIA
2383600128AMEDICAIDGEORGIA
3718343569AMEDICAIDGEORGIA

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: 3/30/2025

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