FAITH DWELLINGS INC. NPI 1699156216

NPI Information

NPI: 1699156216
Provider Name: FAITH DWELLINGS, INC.
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
4666 RANDALWOOD DR
STONE MOUNTAIN, GA
ZIP 30083
Phone: (404) 343-4840
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FAITH DWELLINGS, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Stone Mountain, 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. FAITH DWELLINGS, INC. NPI is 1699156216. The provider is registered as an organization entity type.

The provider's business location address is:

4666 RANDALWOOD DR
STONE MOUNTAIN, GA
ZIP 30083-350
Phone: (404) 343-4840
Fax: (678) 705-5512

The provider's authorized official is Andrea Teresa Ashe .
The authorized official title is Ceo/administrator and has the following contact phone number (404) 578-6461.

The enumeration date for this NPI number is 6/10/2015 and was last updated on 6/10/2015.

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	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		CLA001274	GEORGIA	Yes

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
1	056582532A	MEDICAID	GEORGIA

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

NPI Synchronization or Removal

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