My Sister'S Keeper Family Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

145255627A Issued in GA

Legal business name

MY SISTER'S KEEPER FAMILY SERVICES, INC.

Practice address

804 Commerce Blvd Ste A8
Riverdale, GA 30296-3321

Phone

(678) 760-6599

NPI assigned

Nov 7, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Sharon D. Stroman, MS

Title

Exe. Directo

Phone

(770) 994-0607

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1275713174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7431 PETUNIA DR",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302961185",
            "telephone_number": "770-994-0607",
            "fax_number": "770-994-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 COMMERCE BLVD STE A8",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302963321",
            "telephone_number": "678-760-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY SISTER'S KEEPER FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "STROMAN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "EXE. DIRECTO",
        "authorized_official_telephone_number": "770-994-0607",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "145255627A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145255627A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.