Active NPI
Seeds of Hope, LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- College Park, GA
National Provider Identifier
1063586527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000720101AL | Medicaid | GA | |
| 000720101AT | Medicaid | GA | |
| 000720101AX | Medicaid | GA | |
| 000720101AS | Medicaid | GA | |
| 000720101AN | Medicaid | GA | |
| 000720101S | Medicaid | GA | |
| 000720101W | Medicaid | GA | |
| 000720101AO | Medicaid | GA | |
| 000720101X | Medicaid | GA | |
| 000720101AY | Medicaid | GA | |
| 000720101AH | Medicaid | GA | |
| 000720101BB | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
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.