Miners Creek Personal Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

044017069 Issued in GA

Legal business name

MINERS CREEK PERSONAL CARE HOME

Practice address

4227 Miners Creek Rd
Lithonia, GA 30038-3814

Phone

(404) 641-6275

NPI assigned

May 4, 2008

Last updated

May 4, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Virginia Mae Thompson

Title

Owner Administrator

Phone

(404) 641-6275

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1209859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209859200000",
    "number": "1447426093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5506 STONELEIGH CT",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300883433",
            "telephone_number": "404-641-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4227 MINERS CREEK RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300383814",
            "telephone_number": "404-641-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINERS CREEK PERSONAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-04",
        "last_updated": "2008-05-04",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "404-641-6275",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "GA",
            "license": "044017069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Patrice Miller
• Don Miller, MA,LPC
• Sarai Marie Miller
• Milner Vein and Vascular LLC
• Timothy Patterson Milner, M.D.
• Gloria Minta
• Joyce Davis Minter, RN, LPC
• Mintfour Change, LLC
• Minvervas Multidisciplinary Health Solutions LLC
• Mir Behavioral Health LLC

• Adult Care Home Facility in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Adult Care Home Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2008; 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.