Chanan Foundation, Inc.

Primary specialty

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

Legal business name

CHANAN FOUNDATION, INC.

Practice address

6470 Cedar Mountain Rd
Douglasville, GA 30134-3505

Phone

(678) 715-8891

Fax

(770) 489-6517

NPI assigned

Feb 8, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Bell

Title

Administrator

Phone

(678) 715-8891

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437299104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6470 CEDAR MOUNTAIN RD",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301343505",
            "telephone_number": "678-715-8891",
            "fax_number": "770-489-6517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6470 CEDAR MOUNTAIN RD",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301343505",
            "telephone_number": "678-715-8891",
            "fax_number": "770-489-6517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANAN FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-715-8891",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carensa Cezar
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• Mary J Charlot, FNP-C
• Margaret Mary Chastain, R.PH.
• Annah Chii Chung

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Douglasville, GA
• Providers in Douglasville, 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 Aug 22, 2020; 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.