Courtney Breana Ratliff, MBA, ADM, MPM

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

Practice address

9160 Lakeside Way
Gainesville, GA 30506-6224

Phone

(770) 205-5353

NPI assigned

Jun 14, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rejuvia House

  • Adult Care Home Facility
  • Gainesville, GA
  • NPI 1871161091
  NPD Authorized official

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1508434796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9160 LAKESIDE WAY",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305066224",
            "telephone_number": "770-205-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9160 LAKESIDE WAY",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305066224",
            "telephone_number": "770-205-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATLIFF",
        "first_name": "COURTNEY",
        "middle_name": "BREANA",
        "credential": "MBA, ADM, MPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rejuviahouse@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9160 Lakeside Way",
            "city": "Gainesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305066224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristin Randolph
• Marc J Ranfone, AAC
• Deepa Ranganathan, MD
• Christy Rassel, SLP
• Megan Ratcliff, PH.D.
• Samuel D Rauch Jr., M.D.
• Adam Jackson Raulerson, LMFT
• Ajay Kumar Ravi, M.D.
• Jonathan William Ray, MD
• Sandra L Ray

• Nursing Home Administrator in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Nursing Home Administrator in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.