NPIMap

Organization Active NPI

Club Staffing

  • General Acute Care Hospital
  • Atlanta, GA
National Provider Identifier
1639351315
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
005530 Issued in GA
Legal business name
CLUB STAFFING
Practice address
5027 Upper Elm St
Atlanta, GA 30349-1669
Phone
(404) 840-0747
NPI assigned
Dec 4, 2007
Last updated
Dec 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Authorized official

Name
Novella D Tascoe, RRT
Title
Respiratory Therapist
Phone
(404) 840-0747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 005530 GA Primary

Addresses

Primary practice location

5027 Upper Elm St
Atlanta, GA 30349-1669

Mailing address

5027 Upper Elm St
Atlanta, GA 30349-1669

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1639351315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5027 UPPER ELM ST",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303491669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5027 UPPER ELM ST",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303491669",
            "telephone_number": "404-840-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLUB STAFFING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "TASCOE",
        "authorized_official_first_name": "NOVELLA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "RESPIRATORY THERAPIST",
        "authorized_official_telephone_number": "404-840-0747",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "GA",
            "license": "005530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.