Organization Active NPI

Aiden's Place , LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Atlanta, GA
National Provider Identifier
1508166927
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
060013808 Issued in GA
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.