Organization Active NPI

Alliance Recovery Residence LLC

  • Substance Abuse Rehabilitation Facility
  • Marietta, GA
National Provider Identifier
1225584766
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
ALLIANCE RECOVERY RESIDENCE LLC
Practice address
2621 Morgan Rd NE
Marietta, GA 30066-5623
Phone
(470) 328-0323
NPI assigned
Aug 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Authorized official

Name
Domnique Guerrero
Title
President
Phone
(470) 328-0323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

2621 Morgan Rd NE
Marietta, GA 30066-5623

Mailing address

2621 Morgan Rd NE
Marietta, GA 30066-5623

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472083200000",
    "number": "1225584766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 MORGAN RD NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300665623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 MORGAN RD NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300665623",
            "telephone_number": "470-328-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE RECOVERY RESIDENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-25",
        "last_updated": "2016-08-25",
        "status": "A",
        "authorized_official_last_name": "GUERRERO",
        "authorized_official_first_name": "DOMNIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "470-328-0323"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 25, 2016; 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.