King David Community Center of Atlanta, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

KING DAVID COMMUNITY CENTER OF ATLANTA, INC.

Doing business as

Adult Care
Asian Hope
Peachtree Corners Adult Day Care

Practice address

5054 Singleton Rd
Norcross, GA 30093-2503

Phone

(770) 931-8591

Fax

(770) 931-8609

NPI assigned

Nov 18, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Khano Aranbayeva

Title

Executive Director

Phone

(770) 931-8591

Specialties & licenses 3

Addresses

Other identifiers 10

Other names 3

• Adult Care Doing business as
• Asian Hope Doing business as
• Peachtree Corners Adult Day Care Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565308800000",
    "number": "1568617546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5054 SINGLETON RD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300932503",
            "telephone_number": "770-931-8591",
            "fax_number": "770-931-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5054 SINGLETON RD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300932503",
            "telephone_number": "770-931-8591",
            "fax_number": "770-931-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING DAVID COMMUNITY CENTER OF ATLANTA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2019-08-09",
        "status": "A",
        "authorized_official_last_name": "ARANBAYEVA",
        "authorized_official_first_name": "KHANO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "770-931-8591",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "067-R-0586",
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "355137600B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000811137I",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000811137P",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "355137600C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000811137C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000811137O",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000811137F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000811137D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000811137J",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000811137K",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Adult Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Asian Hope",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Peachtree Corners Adult Day Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• June J Kim, DMD
• Martin Kim
• Sung Woo Kim
• Tae Young Kim, PT
• Young Kyong Kim, PH.D., LMFT
• Ko-Am Gwinnett Medical
• Yeunie Ko
• Dmitri Kodor, PA-C
• Keila Jenae Kolden
• Caroline Konadu

• Adult Day Care Clinic/Center in Norcross, GA
• Providers in Norcross, GA by specialty
• Adult Day Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.