Organization Active NPI

Yahweh a Personal Care Home

  • Assisted Living Facility
  • Jonesboro, GA
National Provider Identifier
1396135661
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
PCH008552 Issued in GA
Legal business name
YAHWEH A PERSONAL CARE HOME
Doing business as
None
Practice address
8194 Saxon CT
Jonesboro, GA 30238-3020
Phone
(404) 993-4404
NPI assigned
Jan 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Authorized official

Name
Lanay Leeshawn Williams, OWNER
Title
Owner
Phone
(404) 993-4404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X PCH008552 GA Primary

Addresses

Primary practice location

8194 Saxon CT
Jonesboro, GA 30238-3020

Mailing address

921 Westmoreland Cir NW Apt 5302
Atlanta, GA 30318-4030
Phone (404) 993-4404

Other names 1

  • None Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1396135661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 WESTMORELAND CIR NW APT 5302",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303184030",
            "telephone_number": "404-993-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8194 SAXON CT",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302383020",
            "telephone_number": "404-993-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAHWEH A PERSONAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LANAY",
        "authorized_official_middle_name": "LEESHAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-993-4404",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": "PCH008552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "None",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.