Adam and Eve Assisted Living Community

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

044014111 Issued in GA

Legal business name

ADAM AND EVE ASSISTED LIVING COMMUNITY

Practice address

5169 Covington Hwy
Decatur, GA 30035-2024

Phone

(770) 987-0390

NPI assigned

Nov 17, 2010

Last updated

Nov 17, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Evelyn Johnson

Title

Owner

Phone

(770) 987-0390

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1013219450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5169 COVINGTON HWY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30035",
            "telephone_number": "770-987-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5169 COVINGTON HWY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300352024",
            "telephone_number": "770-987-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAM AND EVE ASSISTED LIVING COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-987-0390",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "GA",
            "license": "044014111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Achievements Early Intervention Ga LLC
• Stefanie Achii, BCBA
• Melanie Raye Ackerman, BCBA
• Marta Louise Ackers, M.D.
• Activating Wellness Within, LLC
• Jessica Adam, MD
• Amy Leigh Adams, MD
• Ashley Adams, M.S., BCBA
• Ashley Christine Adams, OTD
• Holly Michelle Adams, ED.S., BCBA

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Decatur, GA
• Providers in Decatur, GA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.