The Simple Life Services, Inc.

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

CSW003787 Issued in GA

Legal business name

THE SIMPLE LIFE SERVICES, INC.

Practice address

1827 Powers Ferry Rd SE
BLDG 1 Ste 250
Atlanta, GA 30339-5621

Phone

(770) 995-9771

NPI assigned

May 27, 2010

Last updated

May 27, 2010By 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

Mark Hughes

Title

Co-Owner

Phone

(704) 524-9323

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

The Simple Life Services Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• The Simple Life Services, Inc

  • Case Management Agency
  • Gastonia, NC
  • NPI 1134306814
  NPD tax ID
• The Simple Life Services, Inc.

  • Case Management Agency
  • Gastonia, NC
  • NPI 1538346853
  NPD tax ID
• The Simple Life Services, Inc.

  • Community/Behavioral Health Agency
  • Lincolnton, NC
  • NPI 1699838706
  NPD tax ID

Locations

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1639498884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 POWERS FERRY RD SE",
            "address_2": "BLDG 1 STE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 POWERS FERRY RD SE",
            "address_2": "BLDG 1 STE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395621",
            "telephone_number": "770-995-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SIMPLE LIFE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "704-524-9323"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "GA",
            "license": "CSW003787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "954880906A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adolescent and Children Mental Health Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Adolescent and Children Mental Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.