Active NPI
Orchid Community Living Inc
- Community/Behavioral Health Agency
- Atlanta, GA
National Provider Identifier
1245551530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- CLA001145
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.