Organization Active NPI

Ozrim, LLC

Doing business as Phoenix Living

  • Adult Care Home Facility
  • Marietta, GA
National Provider Identifier
1164829453
Registry record updated Dec 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
CLA002159 Issued in GA
Legal business name
OZRIM, LLC
Doing business as
Phoenix Living
Practice address
3512 Windridge Dr
Marietta, GA 30066-2657
Phone
(770) 551-9533
Fax
(770) 551-0302
NPI assigned
Dec 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2014

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

Authorized official

Name
Mrs. Lisa Marleen Reisman, NURSE PRACTITIONER
Title
Owner
Phone
(770) 551-9533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X CLA002159 GA Primary

Addresses

Primary practice location

3512 Windridge Dr
Marietta, GA 30066-2657

Mailing address

1725 Mount Vernon Rd
Suite 4
Dunwoody, GA 30338-4240
Phone (770) 551-9533

Other names 1

  • Phoenix Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Careminders Home Care2 organizations share this tax ID, including this one

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": "1417478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1164829453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 MOUNT VERNON RD",
            "address_2": "SUITE 4",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384240",
            "telephone_number": "770-551-9533",
            "fax_number": "770-551-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3512 WINDRIDGE DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300662657",
            "telephone_number": "770-551-9533",
            "fax_number": "770-551-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZRIM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-02",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "REISMAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-551-9533",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "GA",
            "license": "CLA002159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.