Organization Active NPI

Keystone Center for Children With Autism, Inc.

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Alpharetta, GA
National Provider Identifier
1255506895
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
Legal business name
KEYSTONE CENTER FOR CHILDREN WITH AUTISM, INC.
Practice address
1675 Hembree Rd
Alpharetta, GA 30004-2083
Phone
(404) 496-4673
Fax
(404) 496-4674
NPI assigned
Apr 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Mr. Thomas Owen Lane III
Title
Ceo
Phone
(404) 496-4673

Specialties & licenses 1

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

Addresses

Primary practice location

1675 Hembree Rd
Alpharetta, GA 30004-2083

Mailing address

1675 Hembree Rd
Alpharetta, GA 30004-2083
Phone (404) 496-4673

National Provider Directory

National Provider Directory

Locations

1675 Hembree Rd
Alpharetta, GA 30009
Phone (404) 496-4673

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1255506895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 HEMBREE RD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300042083",
            "telephone_number": "404-496-4673",
            "fax_number": "404-496-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 HEMBREE RD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300042083",
            "telephone_number": "404-496-4673",
            "fax_number": "404-496-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE CENTER FOR CHILDREN WITH AUTISM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "OWEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-496-4673",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.