Organization Active NPI

Our Parents Place

  • Respite Care Camp
  • Morrow, GA
National Provider Identifier
1255640983
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite Care CampTaxonomy code 385HR2050X
Legal business name
OUR PARENTS PLACE
Practice address
7081 Southlake Parkway
Morrow, GA 30260
Phone
(404) 917-6643
NPI assigned
Sep 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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

Authorized official

Name
Ms. Vivian T Beloved
Title
Ceo
Phone
(404) 917-6643

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care Camp 385HR2050X Primary
Child Physical Disabilities Respite Care 385HR2065X 00000000011 GA

Addresses

Primary practice location

7081 Southlake Parkway
Morrow, GA 30260

Mailing address

7081 Southlake Parkway
Morrow, GA 30260
Phone (404) 917-6643

Other identifiers 2

IdentifierTypeStateIssuer
000000000000MedicaidGA
000000000012MedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1255640983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7081 SOUTHLAKE PARKWAY",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "30260",
            "telephone_number": "404-917-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7081 SOUTHLAKE PARKWAY",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "30260",
            "telephone_number": "404-917-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR PARENTS PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "BELOVED",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-917-6643",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "GA",
            "license": "00000000011",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000000000",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000000012",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrow, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.