My House Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

067011511 Issued in GA

Legal business name

MY HOUSE INC

Practice address

2721 Raven Wood Dr
Snellville, GA 30078-3739

Phone

(770) 978-0791

Fax

(678) 325-1529

NPI assigned

Aug 27, 2010

Organization subpart

No

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

Authorized official

Name

Donna Renee Brazil

Title

Director

Phone

(770) 978-0791

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1013223098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 RAVENWOOD DRIVE",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "30078",
            "telephone_number": "770-978-0791",
            "fax_number": "678-325-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 RAVEN WOOD DR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783739",
            "telephone_number": "770-978-0791",
            "fax_number": "678-325-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "BRAZIL",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "770-978-0791"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "GA",
            "license": "067011511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madelyn Murphy, PA-C
• Jazmin Murray, MPH, RDN, LDN
• Bailey Murry
• William Musarra, A.A.
• James Murigu Mwangi, MD
• My Mobility Ride
• Kristine Mycroft, DMD
• Breeona N Myers
• Nadia Najam, CPNP-PC
• Nafeesah Najieb

• Adult Care Home Facility in Snellville, GA
• Providers in Snellville, GA by specialty
• Adult Care Home Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.