Charity Personal Care Home L.L.C.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

CHARITY PERSONAL CARE HOME L.L.C.

Practice address

2995 Garnet Way
College Park, GA 30349-8440

Phone

(404) 519-5248

Fax

(770) 473-3546

NPI assigned

Mar 8, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Charity Chinasa Ekperi, RN, NP

Title

Manager

Phone

(404) 519-5248

Specialties & licenses 1

Addresses

Tax ID family

Charity Community Living Arrangement LLC2 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.

• Charity Community Living Arrangement LLC

  • Student in an Organized Health Care Education/Training Program
  • College Park, GA
  • NPI 1396144408
  NPD tax ID

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235260258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 GARNET WAY",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303498440",
            "telephone_number": "404-519-5248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 GARNET WAY",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303498440",
            "telephone_number": "404-519-5248",
            "fax_number": "770-473-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARITY PERSONAL CARE HOME L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EKPERI",
        "authorized_official_first_name": "CHARITY",
        "authorized_official_middle_name": "CHINASA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-519-5248",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, NP"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in College Park, GA
• Providers in College Park, GA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.