Organization Active NPI

Malamav Community and Human Services, Inc.

  • Home Health Agency
  • Powder Springs, GA
National Provider Identifier
1427368893
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
033-R-0382 Issued in GA
Legal business name
MALAMAV COMMUNITY AND HUMAN SERVICES, INC.
Practice address
3847 Oakview Dr,
Powder Springs, GA 30127-3060
Phone
(770) 943-4641
NPI assigned
Oct 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Authorized official

Name
Mrs. Kerline Debrosse-Piard, MED.
Title
Administrator
Phone
(770) 943-4641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 033-R-0382 GA Primary

Addresses

Primary practice location

3847 Oakview Dr,
Powder Springs, GA 30127-3060

Mailing address

6183 Burnt Hickory Rd
Powder Springs, GA 30127-3060
Phone (770) 943-4641

Other identifiers 3

IdentifierTypeStateIssuer
228175080CMedicaidGA
790039305BMedicaidGA
790039305AMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Malamav Community and Human Services Inc2 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.

Locations

3849 Oakview Dr
Ste 110
Powder Springs, GA 30127
Phone (770) 943-4641

NPI Registry JSON

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1427368893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6183 BURNT HICKORY RD",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301273060",
            "telephone_number": "770-943-4641",
            "fax_number": "678-668-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3847 OAKVIEW DR,",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301273060",
            "telephone_number": "770-943-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALAMAV COMMUNITY AND HUMAN SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "DEBROSSE-PIARD",
        "authorized_official_first_name": "KERLINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-943-4641",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MED."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "033-R-0382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "228175080C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790039305B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790039305A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Powder Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.