Organization Active NPI

Consumers Care Corporation

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Ellenwood, GA
National Provider Identifier
1376792127
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
CONSUMERS CARE CORPORATION
Practice address
4390 Thurgood Estates Dr
Ellenwood, GA 30294-3283
Phone
(404) 243-5484
Fax
(404) 243-5733
NPI assigned
Sep 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
Mrs. Carolyn Darlene Mattis
Title
Ceo
Phone
(404) 243-5484

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Community/Behavioral Health Agency 251S00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

4390 Thurgood Estates Dr
Ellenwood, GA 30294-3283

Mailing address

4390 Thurgood Estates Dr
Ellenwood, GA 30294-3283
Phone (404) 243-5484

Other identifiers 1

IdentifierTypeStateIssuer
089382234MedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1376792127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4390 THURGOOD ESTATES DR",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302943283",
            "telephone_number": "404-243-5484",
            "fax_number": "404-243-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4390 THURGOOD ESTATES DR",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302943283",
            "telephone_number": "404-243-5484",
            "fax_number": "404-243-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSUMERS CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "MATTIS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "DARLENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-243-5484",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089382234",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellenwood, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.