A Unique Personal Care Home,Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

A UNIQUE PERSONAL CARE HOME,INC.

Practice address

1517 Bordeaux LN
Conyers, GA 30094-1109

Phone

(770) 679-4437

NPI assigned

Oct 7, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Angela Lecounte Wiley, ORS

Title

Ceo

Phone

(678) 595-4938

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1191715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191715200000",
    "number": "1487842282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4127 KINGSHIP DR",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302944211",
            "telephone_number": "404-212-0057",
            "fax_number": "770-679-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 BORDEAUX LN",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300941109",
            "telephone_number": "770-679-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A UNIQUE PERSONAL CARE HOME,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-07",
        "last_updated": "2007-10-07",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "LECOUNTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-595-4938",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ORS"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Conyers, GA
• Assisted Living Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2007; 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.