Organization Active NPI

Angels Live Here Inc.

Doing business as Rebecca Manor

  • Assisted Living Facility
  • Suwanee, GA
National Provider Identifier
1639701352
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ANGELS LIVE HERE INC.
Doing business as
Rebecca Manor
Practice address
89 Level Creek Rd
Suwanee, GA 30024-1779
Phone
(678) 557-7836
NPI assigned
Feb 11, 2020
Last updated
Feb 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Authorized official

Name
Olusola Taiwo
Title
President / Ceo
Phone
(678) 557-7836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

89 Level Creek Rd
Suwanee, GA 30024-1779

Mailing address

89 Level Creek Rd
Suwanee, GA 30024-1779
Phone (678) 557-7836

Other names 1

  • Rebecca Manor Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1639701352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 LEVEL CREEK RD",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241779",
            "telephone_number": "678-557-7836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 LEVEL CREEK RD",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241779",
            "telephone_number": "678-557-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS LIVE HERE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "TAIWO",
        "authorized_official_first_name": "OLUSOLA",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "678-557-7836"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rebecca Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.