Organization Active NPI

House of Preparation, LLC

  • Community/Behavioral Health Agency
  • Stockbridge, GA
National Provider Identifier
1356671531
Registry record updated Feb 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
441931037035 Issued in GA
Legal business name
HOUSE OF PREPARATION, LLC
Practice address
110 Eagle Spring Dr
Suite D
Stockbridge, GA 30281-6488
Phone
(866) 945-9685
Fax
(866) 945-9685
NPI assigned
Jan 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2010

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

Authorized official

Name
Ms. Casandra Jones, MS, NCCNPI 1902147432
Title
Business Manager
Phone
(866) 945-9685

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 441931037035 GA Primary

Addresses

Primary practice location

110 Eagle Spring Dr
Suite D
Stockbridge, GA 30281-6488

Mailing address

PO Box 321
McDonough, GA 30253-0321
Phone (866) 945-9685

Other identifiers 1

IdentifierTypeStateIssuer
858969128AMedicaidGA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265932800000",
    "number": "1356671531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 321",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302530321",
            "telephone_number": "866-945-9685",
            "fax_number": "866-945-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 EAGLE SPRING DR",
            "address_2": "SUITE D",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816488",
            "telephone_number": "866-945-9685",
            "fax_number": "866-945-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF PREPARATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-02-12",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CASANDRA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "866-945-9685",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "441931037035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "858969128A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.