Big Mommas' House PCH Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BIG MOMMAS' HOUSE PCH INC

Practice address

4791 Golod Way
Lithonia, GA 30038-6297

Phone

(678) 418-3007

Fax

(678) 418-9958

NPI assigned

Dec 17, 2009

Last updated

Dec 17, 2009By 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

Haniyyah Intarsar Abdul-Aziz

Title

Ceo

Phone

(678) 418-3007

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Big Mama House2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Big Mama House

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Stone Mountain, GA
  • NPI 1659752491
  NPD tax ID

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1578892774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4791 GOLOD WAY",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300386297",
            "telephone_number": "678-418-3007",
            "fax_number": "678-418-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4791 GOLOD WAY",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300386297",
            "telephone_number": "678-418-3007",
            "fax_number": "678-418-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG MOMMAS' HOUSE PCH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "ABDUL-AZIZ",
        "authorized_official_first_name": "HANIYYAH",
        "authorized_official_middle_name": "INTARSAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-418-3007"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "654081001A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nzinga Benton, LPC, NCC
• Elizabeth Anne Berlin, P.A.
• Beth a Harper Rodriguez
• Iman Bhayani
• Treva Tai Bibbs-Bugg, M.ED-SLP
• Shawanda Bigby
• Billie Gill-Chestnut Therapist Inc
• Floyd Billups
• Cecelia Bing, NP-C
• Bio-Medical Applications of Georgia, Inc. (Fresenius Medical Care South Dekalb / Rockdale)

• Home Health Agency in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.