Organization Active NPI

Nelson Personal Care Home LLC

  • Adult Care Home Facility
  • Acworth, GA
National Provider Identifier
1407567084
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
NELSON PERSONAL CARE HOME LLC
Practice address
4577 Howell Farms Rd NW
Acworth, GA 30101-8860
Phone
(770) 771-2432
NPI assigned
Dec 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Authorized official

Name
Claudia Roger
Title
Ceo
Phone
(770) 771-2432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

4577 Howell Farms Rd NW
Acworth, GA 30101-8860

Mailing address

4577 Howell Farms Rd NW
Acworth, GA 30101-8860

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1407567084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4577 HOWELL FARMS RD NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301018860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4577 HOWELL FARMS RD NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301018860",
            "telephone_number": "770-771-2432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON PERSONAL CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "ROGER",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-771-2432"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.