Charity Community Living Arrangement LLC

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

CLA002141 Issued in GA

Legal business name

CHARITY COMMUNITY LIVING ARRANGEMENT LLC

Practice address

2995 Garnet Way
College Park, GA 30349

Phone

(404) 519-5248

NPI assigned

Aug 14, 2014

Last updated

Aug 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Charity Chinasa Ekperi, NP

Title

Ceo

Phone

(404) 519-5248

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Charity Personal Care Home LLC Former legal business name

Tax ID family

Charity Community Living Arrangement LLC2 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.

• Charity Personal Care Home L.L.C.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • College Park, GA
  • NPI 1235260258
  NPD tax ID

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1396144408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 GARNET WAY",
            "address_2": "CHARITY COMMUNITY LIVING ARRANGEMENT",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "30349",
            "telephone_number": "404-519-5248",
            "fax_number": "770-473-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 GARNET WAY",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "30349",
            "telephone_number": "404-519-5248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARITY COMMUNITY LIVING ARRANGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "EKPERI",
        "authorized_official_first_name": "CHARITY",
        "authorized_official_middle_name": "CHINASA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-519-5248",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": "CLA002141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "674871532A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charity Personal Care Home LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Phylicia Cash, LAPC
• Celestial Plastic and Reconstructive Surgery
• Centers for Pediatric Dental Sedation LLC
• Chain of Custody Testing Solutions LLC
• Euasteria Chaney
• Charity Personal Care Home L.L.C.
• Nicole Chavannes
• Christ the King Day Habilitation Services, Inc.
• Anthony Chukwukelue, NP
• Citrine Therapy Source

• Student in an Organized Health Care Education/Training Program in College Park, GA
• Providers in College Park, GA by specialty
• Student in an Organized Health Care Education/Training Program in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.