Organization Active NPI

Tarr Personal Care Home LLC.

  • Assisted Living Facility
  • Jonesboro, GA
National Provider Identifier
1619523925
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Aug 13, 2019

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.