Peachtree Christian Health, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

PEACHTREE CHRISTIAN HEALTH, INC.

Practice address

3090 Premiere Pkwy Ste 400
Duluth, GA 30097-8915

Phone

(770) 624-2727

Fax

(678) 270-2351

NPI assigned

Feb 11, 2021

Organization subpart

No

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

Authorized official

Name

Stephanie D Gloeckner

Title

Center Director

Phone

(770) 624-2727

Specialties & licenses 1

Addresses

Other names 1

• Peachtree Christian Hospice, Inc. Former legal business name

Tax ID family

Peachtree Christian Health Inc2 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.

• Peachtree Christian Health, Inc.

  • Adult Day Care Clinic/Center
  • Duluth, GA
  • NPI 1902641749
  NPD tax ID

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1366035230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3090 PREMIERE PKWY STE 400",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978915",
            "telephone_number": "770-624-2727",
            "fax_number": "678-270-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3090 PREMIERE PKWY STE 400",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978915",
            "telephone_number": "770-624-2727",
            "fax_number": "678-270-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE CHRISTIAN HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "GLOECKNER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CENTER DIRECTOR",
        "authorized_official_telephone_number": "770-624-2727"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peachtree Christian Hospice, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Peachtree Christian Hospice, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Adult Day Care Clinic/Center in Duluth, GA
• Providers in Duluth, GA by specialty
• Adult Day Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.