EMERALD ISLES PCH INC NPI 1821260217

NPI Information

  • NPI: 1821260217
  • Provider Name: EMERALD ISLES PCH, INC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 1402 SHADOWBROOK DR
    MARIETTA, GA
    ZIP 30062
  • Phone: (770) 509-0533

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NPI Details

EMERALD ISLES PCH, INC is an assisted living facility in Marietta, 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. EMERALD ISLES PCH, INC NPI is 1821260217. The provider is registered as an organization entity type.

The provider's business location address is:

1402 SHADOWBROOK DR
MARIETTA, GA
ZIP 30062-032
Phone: (770) 509-0533

The provider's authorized official is Marian Lawton .
The authorized official title is Facility Director and has the following contact phone number (770) 509-0533.

The enumeration date for this NPI number is 3/26/2008 and was last updated on 3/26/2008.

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
13104A0625XAssisted Living FacilityAssisted Living, Mental IllnessNo
23104A0630XAssisted Living FacilityAssisted Living, Behavioral DisturbancesNo
3310400000XAssisted Living FacilityYes

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
1088MEDICAIDGEORGIA
2010MEDICARE UPINGEORGIA
3380MEDICARE UPINGEORGIA
4244MEDICAIDGEORGIA

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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