NPIMap

Organization Active NPI

Soaring Eagle Children's Group

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Atlanta, GA
National Provider Identifier
1356634034
Registry record updated May 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
SOARING EAGLE CHILDREN'S GROUP
Practice address
3183 Northbrook Dr
Atlanta, GA 30341-4629
Phone
(770) 314-3201
Fax
(770) 818-5512
NPI assigned
May 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2011

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

Authorized official

Name
Mr. Marion Otis Farmer
Title
President
Phone
(770) 314-3201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

3183 Northbrook Dr
Atlanta, GA 30341-4629

Mailing address

3183 Northbrook Dr
Atlanta, GA 30341-4629
Phone (770) 314-3201

National Provider Directory

National Provider Directory
Tax ID family
Soaring Eagle Children's Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306454400000",
    "number": "1356634034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3183 NORTHBROOK DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414629",
            "telephone_number": "770-314-3201",
            "fax_number": "770-818-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3183 NORTHBROOK DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414629",
            "telephone_number": "770-314-3201",
            "fax_number": "770-818-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOARING EAGLE CHILDREN'S GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-27",
        "last_updated": "2011-05-27",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "MARION",
        "authorized_official_middle_name": "OTIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-314-3201",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 27, 2011; 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.