Organization Active NPI

Group Homes for the Disabled, L.L.C.

  • Adult Care Home Facility
  • Decatur, GA
National Provider Identifier
1508102005
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
GROUP HOMES FOR THE DISABLED, L.L.C.
Practice address
3275 Idlecreek CT
Decatur, GA 30034-4914
Phone
(678) 508-3983
Fax
(404) 448-4696
NPI assigned
Jan 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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

Authorized official

Name
Mr. Ashley T Joseph, CRC
Title
Owner/Administrator
Phone
(678) 508-3983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

3275 Idlecreek CT
Decatur, GA 30034-4914

Mailing address

624 Page Ave NE
Atlanta, GA 30307-1734
Phone (678) 508-3983

Other names 1

  • GHFTD Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357084800000",
    "number": "1508102005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 PAGE AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303071734",
            "telephone_number": "678-508-3983",
            "fax_number": "404-448-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3275 IDLECREEK CT",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300344914",
            "telephone_number": "678-508-3983",
            "fax_number": "404-448-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUP HOMES FOR THE DISABLED, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-02",
        "last_updated": "2013-01-02",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "678-508-3983",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRC"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GHFTD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.