Organization Active NPI

Metro Community Services

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Lawrenceville, GA
National Provider Identifier
1235491283
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
License
385HR2060X Issued in GA
Legal business name
METRO COMMUNITY SERVICES
Practice address
134 S Clayton St
Lawrenceville, GA 30046-5743
Phone
(770) 339-2600
NPI assigned
Jun 14, 2012
Last updated
Jun 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Authorized official

Name
Mrs. Justina Obode
Title
Ceo
Phone
(770) 339-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X 385HR2060X GA Primary

Addresses

Primary practice location

134 S Clayton St
Lawrenceville, GA 30046-5743

Mailing address

134 S Clayton St
Lawrenceville, GA 30046-5743
Phone (770) 339-2600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1235491283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 S CLAYTON ST",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300465743",
            "telephone_number": "770-339-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 S CLAYTON ST",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300465743",
            "telephone_number": "770-339-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-14",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "OBODE",
        "authorized_official_first_name": "JUSTINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-339-2600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "GA",
            "license": "385HR2060X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.