NPIMap

Organization Active NPI

Restore the Broken Pieces Inc.

  • Case Management Agency
  • Covington, GA
National Provider Identifier
1285417873
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
RESTORE THE BROKEN PIECES INC.
Practice address
65 Katelen CT
Covington, GA 30016-7720
Phone
(404) 951-2000
NPI assigned
Aug 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Lakanya Jacobs, BACHELOR DEGREENPI 1265317747
Title
Case Manager
Phone
(404) 951-2000

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

65 Katelen CT
Covington, GA 30016-7720

Mailing address

65 Katelen CT
Covington, GA 30016-7720
Phone (404) 951-2000

National Provider Directory

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": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1285417873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 KATELEN CT",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300167720",
            "telephone_number": "404-951-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 KATELEN CT",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300167720",
            "telephone_number": "404-951-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE THE BROKEN PIECES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "LAKANYA",
        "authorized_official_title_or_position": "CASE MANAGER",
        "authorized_official_telephone_number": "404-951-2000",
        "authorized_official_credential": "BACHELOR DEGREE"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.