Active NPI
Angels Live Here Inc.
Doing business as Rebecca Manor
- Assisted Living Facility
- Suwanee, GA
National Provider Identifier
1639701352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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, 2020
- 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
- Olusola Taiwo
- Title
- President / Ceo
- Phone
- (678) 557-7836
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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
- Crystal Raequel Anderson, LCSW
- Lawrion Anderson, RBT
- Michael Patrick Anderson, D.C.
- Andrea M Garmon, DMD PC
- Allison Dye Andreson, PMHNP-BC
- Annandale at Suwanee Inc (D Scott Hudgens Center for Skilled Nursing)
- Gayle E Antoniak
- Margaryta Apalkova
- Apex Elite Homecare LLC
- Apex Physical Therapy Inc. (Apex Physical Therapy)
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.