Specialized Adult Care Inc,

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

003-R-0407 Issued in GA

Legal business name

SPECIALIZED ADULT CARE INC,

Practice address

2370 Battle Forest Dr SW
Marietta, GA 30064-2628

Phone

(678) 641-1828

Fax

(770) 627-3360

NPI assigned

Mar 22, 2012

Last updated

Mar 22, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Brenda Kay Warren, MANAGEMENT

Title

President

Phone

(678) 641-1828

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1558637637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 BATTLE FOREST DR SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300642628",
            "telephone_number": "678-641-1828",
            "fax_number": "770-627-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 BATTLE FOREST DR SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300642628",
            "telephone_number": "678-641-1828",
            "fax_number": "770-627-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED ADULT CARE INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-22",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-641-1828",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MANAGEMENT"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "GA",
            "license": "003-R-0407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HOME CARE PROVIDER",
            "identifier": "033-R-0407",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Michelle Spann, BS
• Ruth Spann, RBT
• Spatium Urgent Care LLC
• Spencer Speagle, BCBA
• Speakeasy Speech & Language Therapy LLC
• Specialized Therapy Solutions, LLC
• Spectrum Health Services
• Speech Adventures, LLC
• Speech and Feeding Solutions LLC
• Speech Sounds, LLC

• Preferred Provider Organization in Marietta, GA
• Providers in Marietta, GA by specialty
• Preferred Provider Organization in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.