Organization Active NPI

Skylark Adh-Atlanta LLC

  • Adult Day Care Clinic/Center
  • Atlanta, GA
National Provider Identifier
1487126066
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
SKYLARK ADH-ATLANTA LLC
Practice address
1705 Commerce Dr NW Ste 200
Atlanta, GA 30318-3107
Phone
(404) 410-1510
Fax
(678) 646-0602
NPI assigned
Dec 20, 2018
Last updated
Dec 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Authorized official

Name
Mr. Edwin Howard Morgens
Title
Ceo
Phone
(404) 410-1510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

1705 Commerce Dr NW Ste 200
Atlanta, GA 30318-3107

Mailing address

4265 Johns Creek Pkwy Ste B
Suwanee, GA 30024-6038
Phone (404) 410-1510

National Provider Directory

National Provider Directory

Locations

1705 Commerce Dr NW
Ste 200
Atlanta, GA 30318
Phone (404) 410-1510

NPI Registry JSON

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545264000000",
    "number": "1487126066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4265 JOHNS CREEK PKWY STE B",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246038",
            "telephone_number": "404-410-1510",
            "fax_number": "678-646-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 COMMERCE DR NW STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303183107",
            "telephone_number": "404-410-1510",
            "fax_number": "678-646-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLARK ADH-ATLANTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-20",
        "last_updated": "2018-12-20",
        "status": "A",
        "authorized_official_last_name": "MORGENS",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-410-1510",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.