Your Beautiful Days LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

YOUR BEAUTIFUL DAYS LLC

Practice address

1040 Willow Crest LNDG
Austell, GA 30168-5737

Phone

(213) 435-5630

NPI assigned

Oct 7, 2021

Organization subpart

No

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

Authorized official

Name

Jelani Nurse

Title

Owner

Phone

(404) 723-1832

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1043972987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 WILLOW CREST LNDG",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301685737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 WILLOW CREST LNDG",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301685737",
            "telephone_number": "213-435-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR BEAUTIFUL DAYS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-09-11",
        "status": "A",
        "authorized_official_last_name": "NURSE",
        "authorized_official_first_name": "JELANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-723-1832"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PCH PERMIT NUMBER",
            "identifier": "2021-006696",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Info@abeautifulday.health",
            "affiliation": "N",
            "address_1": "1040 Willow Crest Lndg",
            "city": "Austell",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301685737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Providers in Austell, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.