Quarters Managing Personal Care Home

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

060013191 Issued in GA

Legal business name

QUARTERS MANAGING PERSONAL CARE HOME

Practice address

5785 Deerfield TRL
College Park, GA 30349-3763

Phone

(678) 591-2720

Fax

(404) 812-7821

NPI assigned

Jun 17, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Mamadou Sylla

Title

Managing Director

Phone

(678) 591-2720

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1245491844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674731",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300060003",
            "telephone_number": "678-591-2720",
            "fax_number": "404-812-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5785 DEERFIELD TRL",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303493763",
            "telephone_number": "678-591-2720",
            "fax_number": "404-812-7821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUARTERS MANAGING PERSONAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "SYLLA",
        "authorized_official_first_name": "MAMADOU",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "678-591-2720",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "GA",
            "license": "060013191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility (Mental Illness) in College Park, GA
• Providers in College Park, GA by specialty
• Assisted Living Facility (Mental Illness) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.