Organization Active NPI

Naciema Corporation

  • Custodial Care Facility
  • Atlanta, GA
National Provider Identifier
1417198458
Registry record updated Mar 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
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

Updated by the provider on Mar 22, 2009

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.