Georgia Residential and Community Healthcare, Inc

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

License

044-01-574-1 Issued in GA

Legal business name

GEORGIA RESIDENTIAL AND COMMUNITY HEALTHCARE, INC

Practice address

5644 Hunters Crossing CT
Lithonia, GA 30038-1529

Phone

(770) 987-7053

Fax

(770) 987-5571

NPI assigned

Jun 12, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Iyabo Akintomide, RN

Title

Director/Administrator

Phone

(678) 860-7332

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1307836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307836800000",
    "number": "1508151176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5644 HUNTERS CROSSING CT",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300381529",
            "telephone_number": "770-987-7053",
            "fax_number": "770-987-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5644 HUNTERS CROSSING CT",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300381529",
            "telephone_number": "770-987-7053",
            "fax_number": "770-987-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA RESIDENTIAL AND COMMUNITY HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-12",
        "last_updated": "2011-06-12",
        "status": "A",
        "authorized_official_last_name": "AKINTOMIDE",
        "authorized_official_first_name": "IYABO",
        "authorized_official_title_or_position": "DIRECTOR/ADMINISTRATOR",
        "authorized_official_telephone_number": "678-860-7332",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "GA",
            "license": "044-01-574-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Family Care, LLC
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• Georgia Pain and Wellness Center
• Georgia Pharmacy LLC
• Georgia Urology PA
• Georgia Urology PA
• Georgia Urology PA
• Derick Jermaine Gerideau
• Annie Elizabeth Gibson-Boyd, R.D.,L.D.

• Assisted Living Facility (Behavioral Disturbances) in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Assisted Living Facility (Behavioral Disturbances) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2011; 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.