Active NPI
Reprah Enterprise,LLC
- Physical Disabilities Residential Treatment Facility
- Stone Mountain, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Disabilities Residential Treatment Facility
- License
- 044016701
- Legal business name
- REPRAH ENTERPRISE,LLC
- Practice address
- 927 Granite Springs LN
Stone Mountain, GA 30083-5102 - Phone
- (404) 246-4544
- Fax
- (404) 755-7609
- NPI assigned
- Nov 9, 2010
- Last updated
- Jul 24, 2020
- 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
- Nicole Harper, MA
- Title
- Owner
- Phone
- (404) 246-4544
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | 044016701 | GA | Primary |
Addresses
Primary practice location
927 Granite Springs LN
Stone Mountain, GA 30083-5102
Mailing address
927 Granite Springs LN
Stone Mountain, GA 30083-5102
Phone (404) 246-4544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 044016701 | Other | GA | DHR |
National Provider Directory
National Provider Directory- Tax ID family
- Reprah Enterprisellc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
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- Non-emergency Medical Transport (VAN)
- Stone Mountain, GA
- NPI 1013219245
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
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- Decatur, GA
- NPI 1730747064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595548800000",
"number": "1447551320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "927 GRANITE SPRINGS LN",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300835102",
"telephone_number": "404-246-4544",
"fax_number": "404-755-7609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "927 GRANITE SPRINGS LN",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300835102",
"telephone_number": "404-246-4544",
"fax_number": "404-755-7609"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REPRAH ENTERPRISE,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-09",
"last_updated": "2020-07-24",
"certification_date": "2020-07-24",
"status": "A",
"authorized_official_last_name": "HARPER",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-246-4544",
"authorized_official_credential": "MA"
},
"taxonomies": [
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": "GA",
"license": "044016701",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DHR",
"identifier": "044016701",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.