Jubilee Personal Care Home Inc.

Primary specialty

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

License

033-01-160-1 Issued in GA

Legal business name

JUBILEE PERSONAL CARE HOME INC.

Practice address

3221 Hopkins Rd
Powder Springs, GA 30127-3636

Phone

(770) 943-4214

Fax

(770) 943-4063

NPI assigned

Mar 11, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Jane Nwadiuto Okeh

Title

Ceo

Phone

(404) 538-8221

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1154644615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 HOPKINS RD",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301273636",
            "telephone_number": "770-943-4214",
            "fax_number": "770-943-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 HOPKINS RD",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301273636",
            "telephone_number": "770-943-4214",
            "fax_number": "770-943-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUBILEE PERSONAL CARE HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "OKEH",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "NWADIUTO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-538-8221",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "GA",
            "license": "033-01-160-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Powder Springs, GA
• Providers in Powder Springs, 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 Mar 11, 2010; 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.