Organization Active NPI

Intergrity Personal Care Home

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Atlanta, GA
National Provider Identifier
1164726204
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
INTERGRITY PERSONAL CARE HOME
Doing business as
Intergrity Personal Care Home
Practice address
4192 Kenwood TRL
Atlanta, GA 30349-1979
Phone
(404) 957-1991
Fax
(404) 963-5357
NPI assigned
Jan 4, 2011
Last updated
Jan 4, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
JC GLOBAL GROUP INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Authorized official

Name
Mrs. Laura Kakulu Emuoyibo, BSC LPN
Title
Administrator
Phone
(404) 957-1991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

4192 Kenwood TRL
Atlanta, GA 30349-1979

Mailing address

4192 Kenwood TRL
Atlanta, GA 30349-1979
Phone (404) 957-1991

Other names 1

  • INTERGRITY PERSONAL CARE HOME Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Integrity Personal Care Home2 organizations share this tax ID, including this one
Part of
Integrity Personal Care Home

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1164726204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4192 KENWOOD TRL",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303491979",
            "telephone_number": "404-957-1991",
            "fax_number": "404-963-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4192 KENWOOD TRL",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303491979",
            "telephone_number": "404-957-1991",
            "fax_number": "404-963-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERGRITY PERSONAL CARE HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JC GLOBAL GROUP INC",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "KAKULU EMUOYIBO",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-957-1991",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSC LPN"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTERGRITY PERSONAL CARE HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.