ALLGOOD MANOR ASSISTANT HOME INC. NPI 1720318843

NPI Information

  • NPI: 1720318843
  • Provider Name: ALLGOOD MANOR ASSISTANT HOME INC.
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Address: 6358 DESHONG DR
    LITHONIA, GA
    ZIP 30058
  • Phone: (678) 526-9201

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NPI Details

ALLGOOD MANOR ASSISTANT HOME INC. is an intermediate care facility mentally retarded in Lithonia, GA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. ALLGOOD MANOR ASSISTANT HOME INC. NPI is 1720318843. The provider is registered as an organization entity type.

The provider's business location address is:

6358 DESHONG DR
LITHONIA, GA
ZIP 30058-123
Phone: (678) 526-9201

The provider's authorized official is Sophia Annmarie Drummond .
The authorized official title is Ceo and has the following contact phone number (678) 526-9201.

The enumeration date for this NPI number is 1/12/2010 and was last updated on 1/12/2010.

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
1315P00000XIntermediate Care Facility, Intellectual Disabilities044-01-594-1GEORGIAYes

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
1129286824AOTHERGEORGIAMEDICAID PROVIDER NUMBER

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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