Eternal Hope and Life, LLC

Primary specialty

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

License

060013798 Issued in GA

Legal business name

ETERNAL HOPE AND LIFE, LLC

Practice address

7349 Poppy Way
Union City, GA 30291-3411

Phone

(404) 591-5131

Fax

(404) 420-2483

NPI assigned

Dec 3, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Ryan Dennard

Title

Ceo

Phone

(404) 591-5131

Specialties & licenses 3

Addresses

Tax ID family

Eternal Hope and Life LLC2 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.

• Eternal Hope and Life, LLC

  • Community/Behavioral Health Agency
  • Union City, GA
  • NPI 1629384060
  NPD tax ID

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1477855930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 MOUNT ZION RD # 337",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302603313",
            "telephone_number": "404-591-5131",
            "fax_number": "404-420-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7349 POPPY WAY",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302913411",
            "telephone_number": "404-591-5131",
            "fax_number": "404-420-2483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNAL HOPE AND LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-03",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "DENNARD",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-591-5131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "GA",
            "license": "060013798",
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "GA",
            "license": "060013798",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "GA",
            "license": "060013798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodine Dorcin
• Dr Okun, PC (Family Chiropractic)
• Joshua Efik
• Emerald Healthcare System Inc
• Epiphany Healthcare Systems, Inc (Accessible Healthcare of South Atlanta)
• Eternal Hope and Life, LLC
• Tonielle Shyvonne Evans, LPN
• Extended Healthcare Services LLC
• Family Help Care Corporation (FHCC Corporation)
• Kwaku Fenin

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Union City, GA
• Providers in Union City, 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 Dec 3, 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.