Organization Active NPI

Quality Care Adult Day Habilitation

  • Developmentally Disabled Services Day Training Agency
  • Fayetteville, GA
National Provider Identifier
1194988568
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
QUALITY CARE ADULT DAY HABILITATION
Practice address
135A Walker Pkwy
Fayetteville, GA 30214-1485
Phone
(770) 716-3627
Fax
(770) 716-3672
NPI assigned
Jul 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Authorized official

Name
Mrs. Pamela Barnes
Title
Ceo
Phone
(770) 716-3627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

135A Walker Pkwy
Fayetteville, GA 30214-1485

Mailing address

135A Walker Pkwy
Fayetteville, GA 30214-1485
Phone (770) 716-3627

Other identifiers 1

IdentifierTypeStateIssuer
604705391AMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Quality 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.

Locations

135A Walker Pkwy
Fayetteville, GA 30214
Phone (770) 716-3627

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1194988568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135A WALKER PKWY",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141485",
            "telephone_number": "770-716-3627",
            "fax_number": "770-716-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135A WALKER PKWY",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141485",
            "telephone_number": "770-716-3627",
            "fax_number": "770-716-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY CARE ADULT DAY HABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-07",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-716-3627",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "604705391A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.