Organization Active NPI

Seeds of Hope, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • College Park, GA
National Provider Identifier
1063586527
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
SEEDS OF HOPE, LLC
Practice address
581 Garden Walk Blvd
College Park, GA 30349-6675
Phone
(404) 753-6569
Fax
(404) 755-6731
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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

Authorized official

Name
Paulette T Asomah
Title
Owner / Chief Administrator
Phone
(404) 753-6569

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

581 Garden Walk Blvd
College Park, GA 30349-6675

Mailing address

PO Box 93262
Atlanta, GA 30377-0262
Phone (404) 753-6569

Other identifiers 12

IdentifierTypeStateIssuer
000720101ALMedicaidGA
000720101ATMedicaidGA
000720101AXMedicaidGA
000720101ASMedicaidGA
000720101ANMedicaidGA
000720101SMedicaidGA
000720101WMedicaidGA
000720101AOMedicaidGA
000720101XMedicaidGA
000720101AYMedicaidGA
000720101AHMedicaidGA
000720101BBMedicaidGA

National Provider Directory

National Provider Directory

Locations

581 Garden Walk Blvd
College Park, GA 30349
Phone (404) 753-6569

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1063586527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93262",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303770262",
            "telephone_number": "404-753-6569",
            "fax_number": "404-755-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 GARDEN WALK BLVD",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303496675",
            "telephone_number": "404-753-6569",
            "fax_number": "404-755-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEEDS OF HOPE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "ASOMAH",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER / CHIEF ADMINISTRATOR",
        "authorized_official_telephone_number": "404-753-6569"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000720101AL",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000720101AT",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000720101AX",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000720101AS",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000720101AN",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000720101S",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000720101W",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000720101AO",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000720101X",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000720101AY",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000720101AH",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000720101BB",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.