Organization Active NPI

Orchid Community Living Inc

  • Community/Behavioral Health Agency
  • Atlanta, GA
National Provider Identifier
1245551530
Registry record updated Dec 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CLA001145 Issued in GA
Legal business name
ORCHID COMMUNITY LIVING INC
Practice address
702 Fitzgerald PL
Atlanta, GA 30349-1085
Phone
(404) 348-4494
Fax
(404) 348-4494
NPI assigned
Jun 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2012

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

Authorized official

Name
Mr. Jean Eddy Gilles, M.S.
Title
Chief Executive Officer
Phone
(404) 488-6165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CLA001145 GA Primary

Addresses

Primary practice location

702 Fitzgerald PL
Atlanta, GA 30349-1085

Mailing address

PO Box 366111
Atlanta, GA 30336-6111
Phone (404) 348-4494

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356912000000",
    "number": "1245551530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366111",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303366111",
            "telephone_number": "404-348-4494",
            "fax_number": "404-348-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 FITZGERALD PL",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303491085",
            "telephone_number": "404-348-4494",
            "fax_number": "404-348-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHID COMMUNITY LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2012-12-31",
        "status": "A",
        "authorized_official_last_name": "GILLES",
        "authorized_official_first_name": "JEAN EDDY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "404-488-6165",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "CLA001145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.