Habilicare LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

HABILICARE LLC

Practice address

4053 Brenteresa CT
Snellville, GA 30039-5331

Phone

(770) 940-7780

NPI assigned

Feb 27, 2024

Organization subpart

No

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

Authorized official

Name

Ernest Grant Flagg

Title

Ceo

Phone

(517) 750-7075

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1306602347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4053 BRENTERESA CT",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300395331",
            "telephone_number": "770-940-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4053 BRENTERESA CT",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300395331",
            "telephone_number": "770-940-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HABILICARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "FLAGG",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "GRANT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "517-750-7075"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hawabu Bawa Habib
• Sara Habte
• Helen Habtewold
• Jeffrey Scot Hackleman, O.D.
• James Eugene Haddad Jr., DMD
• Sven Hadzic, LDO

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Snellville, GA
• Providers in Snellville, GA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.