NPIMap

Organization Active NPI

Jacob's Ladder

  • Community/Behavioral Health Agency
  • Roswell, GA
National Provider Identifier
1447637343
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
APC004709 Issued in GA
Legal business name
JACOB'S LADDER
Practice address
407 Hardscrabble Rd
Roswell, GA 30075-1417
Phone
(770) 998-1017
NPI assigned
Apr 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Authorized official

Name
Jaclyn Rhodes
Title
Director of HR
Phone
(770) 998-1017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X APC004709 GA Primary

Addresses

Primary practice location

407 Hardscrabble Rd
Roswell, GA 30075-1417

Mailing address

407 Hardscrabble Rd
Roswell, GA 30075-1417

National Provider Directory

National Provider Directory
Tax ID family
Jacob's Ladder2 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.

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1447637343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 HARDSCRABBLE RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300751417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 HARDSCRABBLE RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300751417",
            "telephone_number": "770-998-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB'S LADDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "RHODES",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "DIRECTOR OF HR",
        "authorized_official_telephone_number": "770-998-1017"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "APC004709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.