Active NPI
Aiden's Place , LLC
- Mental Illness Community Based Residential Treatment Facility
- Atlanta, GA
National Provider Identifier
1508166927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- 060013808
- Legal business name
- AIDEN'S PLACE , LLC
- Practice address
- 7370 Wright Dr
Atlanta, GA 30349-7911 - Phone
- (404) 244-3664
- Fax
- (404) 393-6420
- NPI assigned
- Nov 1, 2010
- Last updated
- Nov 1, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Curtis L. Johnson
- Title
- Owner
- Phone
- (404) 244-3664
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 060013808 | GA | |
| Custodial Care Facility | 311Z00000X | 060013808 | GA | |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | 060013808 | GA | Primary |
Addresses
Primary practice location
7370 Wright Dr
Atlanta, GA 30349-7911
Mailing address
116 Falling Waters Dr
Jonesboro, GA 30236-5484
Phone (404) 244-3664
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288569600000",
"number": "1508166927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 FALLING WATERS DR",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302365484",
"telephone_number": "404-244-3664",
"fax_number": "404-393-6420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7370 WRIGHT DR",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303497911",
"telephone_number": "404-244-3664",
"fax_number": "404-393-6420"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AIDEN'S PLACE , LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-01",
"last_updated": "2010-11-01",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "CURTIS",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-244-3664",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "GA",
"license": "060013808",
"primary": false
},
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": "GA",
"license": "060013808",
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "GA",
"license": "060013808",
"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 Nov 1, 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.