Omni First Homes, Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

OMNI FIRST HOMES, INC.

Practice address

4492 Bakers Ferry Rd SW
Atlanta, GA 30331-4502

Phone

(678) 650-8008

NPI assigned

Mar 15, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Diarra Jackson

Title

Ceo

Phone

(678) 650-8008

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1394841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394841600000",
    "number": "1245656131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4492 BAKERS FERRY RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303314502",
            "telephone_number": "678-650-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4492 BAKERS FERRY RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303314502",
            "telephone_number": "678-650-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI FIRST HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-15",
        "last_updated": "2014-03-15",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "DIARRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-650-8008",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emotionally Disturbed Childrens' Residential Treatment Facility in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2014; 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.