NPIMap

Organization Active NPI

Philpot Personal Care Home

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Atlanta, GA
National Provider Identifier
1255525952
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
PHILPOT PERSONAL CARE HOME
Practice address
4760 Cascade Rd SW
Atlanta, GA 30331-7348
Phone
(404) 505-7585
Fax
(404) 699-9807
NPI assigned
Sep 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Authorized official

Name
Ms. Sheryl Ann GlassNPI 1033718739
Title
Administrator
Phone
(404) 625-1688

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X GA
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X GA Primary
Respite Care 385H00000X GA
Child Mental Illness Respite Care 385HR2055X GA

Addresses

Primary practice location

4760 Cascade Rd SW
Atlanta, GA 30331-7348

Mailing address

4760 Cascade Rd SW
Atlanta, GA 30331-7348
Phone (404) 505-7585

Other names 1

  • Atlanta Residential Care Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Atlanta Residential Care Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1255525952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 CASCADE RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303317348",
            "telephone_number": "404-505-7585",
            "fax_number": "404-699-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 CASCADE RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303317348",
            "telephone_number": "404-505-7585",
            "fax_number": "404-699-9807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILPOT PERSONAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-625-1688",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlanta Residential Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 5, 2007; 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.