Active NPI
Tarr Personal Care Home LLC.
- Assisted Living Facility
- Jonesboro, GA
National Provider Identifier
1619523925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- TARR PERSONAL CARE HOME LLC.
- Practice address
- 1180 Mundys Mill Rd
Jonesboro, GA 30238-6038 - Phone
- (404) 454-7414
- NPI assigned
- Aug 13, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Karbea Tarr Nuahn
- Title
- Owner
- Phone
- (404) 454-7414
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Assisted Living Facility | 310400000X | Primary | ||
| Mental Illness Community Based Residential Treatment Facility | 320800000X |
Addresses
Primary practice location
1180 Mundys Mill Rd
Jonesboro, GA 30238-6038
Mailing address
628 River Mist Dr
Jonesboro, GA 30238-5789
Phone (404) 454-7414
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565654400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1565654400000",
"number": "1619523925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "628 RIVER MIST DR",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302385789",
"telephone_number": "404-454-7414",
"fax_number": "470-317-5901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1180 MUNDYS MILL RD",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302386038",
"telephone_number": "404-454-7414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TARR PERSONAL CARE HOME LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-13",
"last_updated": "2019-08-13",
"status": "A",
"authorized_official_last_name": "NUAHN",
"authorized_official_first_name": "KARBEA",
"authorized_official_middle_name": "TARR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-454-7414",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.