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ALLEGIANCE PERSONAL CARE HOME NPI 1801146204


NPI Information

NPI: 1801146204
Provider Name: ALLEGIANCE PERSONAL CARE HOME
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
1473 TIMMS CIR SE
ATLANTA, GA
ZIP 30316
Phone: (404) 246-6606
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ALLEGIANCE PERSONAL CARE HOME is an adult care home custodial care facility in Atlanta, GA. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. ALLEGIANCE PERSONAL CARE HOME NPI is 1801146204. The provider is registered as an organization entity type.

The provider's business location address is:

1473 TIMMS CIR SE
ATLANTA, GA
ZIP 30316-423
Phone: (404) 246-6606
Fax: (404) 601-9919

The provider's authorized official is Gloriqua Shanai Hill .
The authorized official title is Owner/ Manager and has the following contact phone number (404) 246-6606.

The enumeration date for this NPI number is 9/12/2012 and was last updated on 9/12/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311ZA0620XCustodial Care FacilityAdult Care HomeGEORGIAYes

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

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