Active NPI
By Grace Senior Solutions, LLC
- Assisted Living Facility
- Fairburn, GA
National Provider Identifier
1336846195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- BY GRACE SENIOR SOLUTIONS, LLC
- Practice address
- 4390 Merrigold Way
Fairburn, GA 30213-6548 - Phone
- (404) 721-6527
- NPI assigned
- Feb 13, 2023
- Last updated
- Feb 13, 2023
- 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
- Rhondolyn Kilgore
- Title
- Owner
- Phone
- (404) 721-6527
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary | ||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
4390 Merrigold Way
Fairburn, GA 30213-6548
Mailing address
4390 Merrigold Way
Fairburn, GA 30213-6548
Phone (404) 721-6527
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676246400000",
"number": "1336846195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4390 MERRIGOLD WAY",
"city": "FAIRBURN",
"state": "GA",
"postal_code": "302136548",
"telephone_number": "404-721-6527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4390 MERRIGOLD WAY",
"city": "FAIRBURN",
"state": "GA",
"postal_code": "302136548",
"telephone_number": "404-721-6527"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BY GRACE SENIOR SOLUTIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-13",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A",
"authorized_official_last_name": "KILGORE",
"authorized_official_first_name": "RHONDOLYN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-721-6527"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairburn, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.