Active NPI
Naciema Corporation
- Custodial Care Facility
- Atlanta, GA
National Provider Identifier
1417198458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Custodial Care Facility
- Legal business name
- NACIEMA CORPORATION
- Practice address
- 3200 Stone Rd SW Apt W8
Atlanta, GA 30331-2920 - Phone
- (678) 847-1353
- NPI assigned
- Mar 22, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Mary Ann Slade
- Title
- President
- Phone
- (678) 847-1353
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | Primary | ||
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | |||
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X |
Addresses
Primary practice location
3200 Stone Rd SW Apt W8
Atlanta, GA 30331-2920
Mailing address
3200 Stone Rd SW Apt W8
Atlanta, GA 30331-2920
Phone (678) 847-1353
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237680000000",
"number": "1417198458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 STONE RD SW APT W8",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303312920",
"telephone_number": "678-847-1353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 STONE RD SW APT W8",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303312920",
"telephone_number": "678-847-1353"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NACIEMA CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-22",
"last_updated": "2009-03-22",
"status": "A",
"authorized_official_last_name": "SLADE",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "678-847-1353",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": null,
"license": null,
"primary": false
},
{
"code": "3245S0500X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.