Organization Active NPI

Bet Shalom Housing & Haven Care

  • Independent Duty Medical Technicians
  • McDonough, GA
National Provider Identifier
1114857547
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Duty Medical TechniciansTaxonomy code 1710I1003X
Legal business name
BET SHALOM HOUSING & HAVEN CARE
Practice address
416 Preston Creek Dr
McDonough, GA 30253-8983
Phone
(678) 396-0120
NPI assigned
May 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Authorized official

Name
Patricia Viola Gerard
Title
Business Owner
Phone
(678) 396-0120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Medical TechniciansGroup: 193400000X SINGLE SPECIALTY GROUP 1710I1003X Primary

Addresses

Primary practice location

416 Preston Creek Dr
McDonough, GA 30253-8983

Mailing address

416 Preston Creek Dr
McDonough, GA 30253-8983
Phone (678) 396-0120

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1779148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1114857547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 PRESTON CREEK DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538983",
            "telephone_number": "678-396-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 PRESTON CREEK DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538983",
            "telephone_number": "678-396-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BET SHALOM HOUSING & HAVEN CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-19",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "GERARD",
        "authorized_official_first_name": "PATRICIA VIOLA",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "678-396-0120"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.