Organization Active NPI

Integrity Personal Care Home

  • Skilled Nursing Facility
  • Atlanta, GA
National Provider Identifier
1508160045
Registry record updated Dec 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
INTEGRITY PERSONAL CARE HOME
Practice address
4192 Kenwood TRL
Atlanta, GA 30349-1979
Phone
(404) 957-1991
Fax
(404) 963-5357
NPI assigned
Dec 25, 2010
Organization subpart
Yes
Parent organization
JC GLOBAL GROUP INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 25, 2010

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

Authorized official

Name
Mrs. Laura Kakulu Emuoyibo, BSC LPN
Title
Administrator
Phone
(404) 957-1991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

4192 Kenwood TRL
Atlanta, GA 30349-1979

Mailing address

4192 Kenwood TRL
Atlanta, GA 30349-1979
Phone (404) 957-1991

Other names 1

  • INTEGRITY PERSONAL CARE HOME Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Intergrity Personal Care Home2 organizations share this tax ID, including this one
Part of
Intergrity Personal Care Home

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1293235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293235200000",
    "number": "1508160045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4192 KENWOOD TRL",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303491979",
            "telephone_number": "404-957-1991",
            "fax_number": "404-963-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4192 KENWOOD TRL",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303491979",
            "telephone_number": "404-957-1991",
            "fax_number": "404-963-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY PERSONAL CARE HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JC GLOBAL GROUP INC",
        "enumeration_date": "2010-12-25",
        "last_updated": "2010-12-25",
        "status": "A",
        "authorized_official_last_name": "KAKULU EMUOYIBO",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-957-1991",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSC LPN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTEGRITY PERSONAL CARE HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 25, 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.