Bobbi Personal Care Home Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

BOBBI PERSONAL CARE HOME INC.

Practice address

112 Jefferson Pkwy
Suite 714
Newnan, GA 30263-5885

Phone

(404) 438-0138

NPI assigned

Apr 23, 2009

Last updated

Apr 23, 2009By 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

Mr. Baboucarr O Senghore

Title

Administrator

Phone

(404) 438-0138

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1093959892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 JEFFERSON PKWY",
            "address_2": "SUITE 714",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302635885",
            "telephone_number": "404-438-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 JEFFERSON PKWY",
            "address_2": "SUITE 714",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302635885",
            "telephone_number": "404-438-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBBI PERSONAL CARE HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "SENGHORE",
        "authorized_official_first_name": "BABOUCARR",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-438-0138",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "639726269A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Blose, RBT
• Katie Blount
• Blueprint Psychiatry, LLC
• Blueprint TMS& Wellness Centers of America
• Jennifer Alice Boateng
• Sushanth Raghu Boda, DO
• Mitchell Boles, APRN
• Shannon Leigh Boles, PNP
• Hannah Booth
• Emma Borglin, RBT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.