Cotter Personal Care Home LLC

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

241816 Issued in GA

Legal business name

COTTER PERSONAL CARE HOME LLC

Practice address

5146 Cotter Dr
Union City, GA 30291-1812

Phone

(770) 226-4244

NPI assigned

Feb 19, 2015

Last updated

Feb 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Urick Ladonis

Title

Owner

Phone

(770) 226-4244

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424304000000",
    "number": "1255723813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310147",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311310147",
            "telephone_number": "770-226-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5146 COTTER DR",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302911812",
            "telephone_number": "770-226-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTER PERSONAL CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-19",
        "last_updated": "2015-02-19",
        "status": "A",
        "authorized_official_last_name": "LADONIS",
        "authorized_official_first_name": "URICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-226-4244"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "GA",
            "license": "241816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Disabilities Residential Treatment Facility in Union City, GA
• Providers in Union City, GA by specialty
• Physical Disabilities Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.