Active NPI
Rose Petal Falls, LLC
- Home Health Agency
- Stone Mountain, GA
National Provider Identifier
1306189626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 044R0938
- Legal business name
- ROSE PETAL FALLS, LLC
- Practice address
- 1364 Red Cedar TRL
Stone Mountain, GA 30083-5539 - Phone
- (404) 220-9191
- NPI assigned
- Apr 4, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Paula R Thomas
- Title
- President
- Phone
- (404) 771-9697
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 044R0938 | GA | Primary |
Addresses
Primary practice location
1364 Red Cedar TRL
Stone Mountain, GA 30083-5539
Mailing address
1364 Red Cedar TRL
Stone Mountain, GA 30083-5539
Phone (404) 220-9191
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1365033600000",
"number": "1306189626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1364 RED CEDAR TRL",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300835539",
"telephone_number": "404-220-9191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1364 RED CEDAR TRL",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300835539",
"telephone_number": "404-220-9191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSE PETAL FALLS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-04",
"last_updated": "2013-04-04",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "PAULA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "404-771-9697",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "GA",
"license": "044R0938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.