Organization Active NPI

1804 Independent Adult Care

  • Adult Care Home Facility
  • Hampton, GA
National Provider Identifier
1609731355
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
1804 INDEPENDENT ADULT CARE
Practice address
1541 Gunstock CT
Hampton, GA 30228-5935
Phone
(678) 673-4808
NPI assigned
Dec 16, 2025
Last updated
Dec 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Authorized official

Name
Natacha Pierre I
Title
Owner
Phone
(678) 673-4808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X NU Primary

Addresses

Primary practice location

1541 Gunstock CT
Hampton, GA 30228-5935

Mailing address

1541 Gunstock CT
Hampton, GA 30228-5935

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1765843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1609731355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 GUNSTOCK CT",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302285935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 GUNSTOCK CT",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302285935",
            "telephone_number": "678-673-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1804 INDEPENDENT ADULT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-16",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "PIERRE",
        "authorized_official_first_name": "NATACHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-673-4808",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.