Organization Active NPI

L Battlo, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Atlanta, GA
National Provider Identifier
1376815878
Registry record updated Jan 31, 2012
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
L BATTLO, LLC
Practice address
3550 Keels LN
Atlanta, GA 30349-4546
Phone
(770) 969-6513
Fax
(770) 471-6592
NPI assigned
Jan 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

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

Authorized official

Name
Mrs. Valerie L Battles
Title
Administrator
Phone
(404) 944-1501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X GA Primary

Addresses

Primary practice location

3550 Keels LN
Atlanta, GA 30349-4546

Mailing address

7995 Woods LN
Jonesboro, GA 30236-3976
Phone (404) 944-1501

Other identifiers 2

IdentifierTypeStateIssuer
501494795BMedicaidGA
501494795DMedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1376815878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7995 WOODS LN",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302363976",
            "telephone_number": "404-944-1501",
            "fax_number": "770-471-6592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 KEELS LN",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303494546",
            "telephone_number": "770-969-6513",
            "fax_number": "770-471-6592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L BATTLO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-31",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "BATTLES",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-944-1501",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "501494795B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "501494795D",
            "state": "GA"
        }
    ],
    "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 Jan 31, 2012; 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.