Gentility Personal Care Home, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

061-01-320-9 Issued in GA

Legal business name

GENTILITY PERSONAL CARE HOME, LLC

Practice address

2803 Austin Ridge Dr
Dacula, GA 30019-6108

Phone

(678) 977-5134

Fax

(678) 226-2944

NPI assigned

Apr 29, 2008

Last updated

Apr 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Brandi Marie Nesbitt

Title

Executive Director

Phone

(678) 977-5134

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1336314541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 AUSTIN RIDGE DR",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300196108",
            "telephone_number": "678-977-5134",
            "fax_number": "678-226-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 AUSTIN RIDGE DR",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300196108",
            "telephone_number": "678-977-5134",
            "fax_number": "678-226-2944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTILITY PERSONAL CARE HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "NESBITT",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "678-977-5134",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "GA",
            "license": "061-01-320-9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.