Active NPI
Lafayette Medical and Alternative Health
- Nursing Facility/Intermediate Care Facility
- Tucker, GA
National Provider Identifier
1174776314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 041157352
- Legal business name
- LAFAYETTE MEDICAL AND ALTERNATIVE HEALTH
- Practice address
- 4500 Hugh Howell Rd
320
Tucker, GA 30084-4723 - Phone
- (770) 621-9405
- Fax
- (770) 621-9433
- NPI assigned
- Oct 31, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cathryn Parkman, LISCENSE NURSE
- Title
- Trreatment
- Phone
- (770) 621-9405
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 041157352 | GA | |
| Nursing Facility/Intermediate Care Facility | 313M00000X | 041157352 | GA | Primary |
| Skilled Nursing Facility | 314000000X | 04115352 | GA |
Addresses
Primary practice location
4500 Hugh Howell Rd
320
Tucker, GA 30084-4723
Mailing address
4500 Hugh Howell Rd
320
Tucker, GA 30084-4723
Phone (770) 621-9405
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041157362 | Other | GA | LICENSE NURSE |
Other names 1
- Lafayette Medical & Alternative Health
National Provider Directory
National Provider DirectoryLocations
4500 Hugh Howell Rd
Ste 320
Tucker, GA 30084
Phone (770) 621-9405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225411200000",
"number": "1174776314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 HUGH HOWELL RD",
"address_2": "320",
"city": "TUCKER",
"state": "GA",
"postal_code": "300844723",
"telephone_number": "770-621-9405",
"fax_number": "770-621-9433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 HUGH HOWELL RD",
"address_2": "320",
"city": "TUCKER",
"state": "GA",
"postal_code": "300844723",
"telephone_number": "770-621-9405",
"fax_number": "770-621-9433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAFAYETTE MEDICAL AND ALTERNATIVE HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-31",
"last_updated": "2008-10-31",
"status": "A",
"authorized_official_last_name": "PARKMAN",
"authorized_official_first_name": "CATHRYN",
"authorized_official_title_or_position": "TRREATMENT",
"authorized_official_telephone_number": "770-621-9405",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LISCENSE NURSE"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "GA",
"license": "041157352",
"primary": false
},
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "GA",
"license": "041157352",
"primary": true
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "GA",
"license": "04115352",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NURSE",
"identifier": "041157362",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lafayette Medical & Alternative Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.