Grace TLC Assisted Living LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GRACE TLC ASSISTED LIVING LLC

Practice address

6622 Chiapuk CT
Lithonia, GA 30038-3150

Phone

(678) 386-7182

Fax

(770) 482-1609

NPI assigned

Sep 22, 2010

Organization subpart

No

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

Authorized official

Name

Hyacinth Adams

Title

Director/ Owner

Phone

(678) 386-7182

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1205144391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6622 CHIAPUK CT",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300383150",
            "telephone_number": "678-386-7182",
            "fax_number": "770-482-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6622 CHIAPUK CT",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300383150",
            "telephone_number": "678-386-7182",
            "fax_number": "770-482-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE TLC ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "HYACINTH",
        "authorized_official_title_or_position": "DIRECTOR/ OWNER",
        "authorized_official_telephone_number": "678-386-7182"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aprill Goodlow, R.N.
• Lynn Goodwin, MA, LAPC
• Shakea Gordon
• Cassaundra Linette Govan, PH.D.
• Grace Care Ambulance Transport, LLC
• Gracious Home Care LLC
• Melanie Graham
• Devon Grant, M.ED., LPC
• Charmaine Gray, MD
• Amber Jenkins Green, DDS

• Community/Behavioral Health Agency in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.