McKnight Personal Care Home Inc,

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

MCKNIGHT PERSONAL CARE HOME INC,

Practice address

3045 Carriage TRL
Jonesboro, GA 30236-6835

Phone

(678) 519-2115

Fax

(678) 216-0311

NPI assigned

Nov 30, 2010

Organization subpart

No

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

Authorized official

Name

Shanteria Lashun McKnight

Title

Director

Phone

(678) 643-3600

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291075200000",
    "number": "1407158231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3045 CARRIAGE TRL",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302366835",
            "telephone_number": "678-519-2115",
            "fax_number": "678-216-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 CARRIAGE TRL",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302366835",
            "telephone_number": "678-519-2115",
            "fax_number": "678-216-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKNIGHT PERSONAL CARE HOME INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2010-11-30",
        "status": "A",
        "authorized_official_last_name": "MCKNIGHT",
        "authorized_official_first_name": "SHANTERIA",
        "authorized_official_middle_name": "LASHUN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "678-643-3600"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert W. McCullough, O.D.
• Rayketta McCurtis, LCSW
• Shadeana L McDaniel
• Brianne McDonald
• Steven Douglas McGlocklin, MD
• Megan Leigh McLain, DPT
• Makayla L McLaurin, TRANSPORTATION
• Eunice McMurtry
• Med Powered Medical Supply LLC
• Mediclinic

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.