Organization Active NPI

Lafayette Medical and Alternative Health

  • Nursing Facility/Intermediate Care Facility
  • Tucker, GA
National Provider Identifier
1174776314
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
041157352 Issued in GA
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

Updated by the provider on Oct 31, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
041157362OtherGALICENSE NURSE

Other names 1

  • Lafayette Medical & Alternative Health Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.