Jones Cody Personal Care Home Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

JONES CODY PERSONAL CARE HOME INC

Practice address

787 Wynbrooke Pkwy
Stone Mountain, GA 30087-6323

Phone

(404) 484-0054

NPI assigned

Sep 20, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Doris Jones Cody

Title

Ceo

Phone

(404) 484-0054

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1386995017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 ALBANS CT",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300585639",
            "telephone_number": "404-484-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 WYNBROOKE PKWY",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300876323",
            "telephone_number": "404-484-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONES CODY PERSONAL CARE HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "JONES CODY",
        "authorized_official_first_name": "DORIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-484-0054",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "298402594D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "298402594C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Allison Johnson, REGISTERED NURSE
• Rourger Lynn Johnson, O.D.
• Samuel Johnson, M.D.
• Teresa A Johnson, MS, LPC, NCC
• Violet Oluyinka Jonah
• Chatice Jones, PHLEBOTOMIST
• Danielle Yvette Jones, MEDICAL ASSISTANT
• Laurie Jones, ND, MPH, LPC, NCC
• Shavon L Jones
• Treva G. Jones, LCSW, MAC

• Developmentally Disabled Services Day Training Agency in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Developmentally Disabled Services Day Training Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.