Caring Hands Assisted Living, LLC.

Primary specialty

Respite CareTaxonomy code 385H00000X

License

031012331 Issued in GA

Legal business name

CARING HANDS ASSISTED LIVING, LLC.

Practice address

1741 Highway 138 SW
Riverdale, GA 30296-1921

Phone

(770) 996-5552

Fax

(770) 996-5552

NPI assigned

Jan 11, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Mathilda PrevostNPI 1093641896

Title

Administrator

Phone

(678) 886-6877

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mathilda Prevost

  • Assisted Living Facility (Behavioral Disturbances)
  • Riverdale, GA
  • NPI 1093641896
  NPD (past) Authorized official

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1316217045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 HIGHWAY 138 SW",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302961921",
            "telephone_number": "770-996-5552",
            "fax_number": "770-996-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 HIGHWAY 138 SW",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302961921",
            "telephone_number": "770-996-5552",
            "fax_number": "770-996-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING HANDS ASSISTED LIVING, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "PREVOST",
        "authorized_official_first_name": "MATHILDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-886-6877",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "GA",
            "license": "031012331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCSP PROVIDER",
            "identifier": "911309871",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candid Medical Center, LLC
• Candid Medical Group LLC
• Paris Cannon McAllister
• Cristian Carbuccia Mendez Sr.
• Carefirst Medical Supply Inc
• Darrell J Carmen, M.D.
• Orlando Carson Sr.
• Kimberly Contrella Carswell
• April Shannelle Carter, M.S., CCC-SLP
• Isatou Ceesay

• Respite Care in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Respite Care in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.