Active NPI
IHS at Briarcliff Haven Inc
Doing business as Briarcliff Haven Health & Rehab Center
- Skilled Nursing Facility
- Atlanta, GA
National Provider Identifier
1306816780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 10441316
- Legal business name
- IHS AT BRIARCLIFF HAVEN INC
- Doing business as
- Briarcliff Haven Health & Rehab Center
- Practice address
- 1000 Briarcliff Road
Atlanta, GA 30306 - Phone
- (404) 875-6456
- Fax
- (404) 876-4606
- NPI assigned
- Jan 26, 2006
- Last updated
- Jul 16, 2014
- 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
- Mr. Brian Reynolds
- Title
- Cfo
- Phone
- (410) 513-8738
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 10441316 | GA | Primary |
Addresses
Primary practice location
1000 Briarcliff Road
Atlanta, GA 30306
Mailing address
1000 Briarcliff Road
Atlanta, GA 30306
Phone (404) 875-6456
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00140401A | Medicaid | GA |
Other names 1
- Briarcliff Haven Health & Rehab Center
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba PharMerica
- Long Term Care Pharmacy
- West Henrietta, NY
- NPI 1407395270
Member Of
-
dba Pharmerica
- Long Term Care Pharmacy
- Great Falls, MT
- NPI 1811920499
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1405468800000",
"number": "1306816780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 BRIARCLIFF ROAD",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30306",
"telephone_number": "404-875-6456",
"fax_number": "404-874-4606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 BRIARCLIFF ROAD",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30306",
"telephone_number": "404-875-6456",
"fax_number": "404-876-4606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IHS AT BRIARCLIFF HAVEN INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-26",
"last_updated": "2014-07-16",
"status": "A",
"authorized_official_last_name": "REYNOLDS",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "410-513-8738",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "GA",
"license": "10441316",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00140401A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Briarcliff Haven Health & Rehab Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.