NPIMap

Organization Active NPI

Fulton County Mhddad

Doing business as South Training Center

  • Developmentally Disabled Services Day Training Agency
  • Atlanta, GA
National Provider Identifier
1649346677
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
FULTON COUNTY MHDDAD
Doing business as
South Training Center
Practice address
2605 Fairburn Rd SW
Atlanta, GA 30331-5903
Phone
(404) 346-8365
NPI assigned
Nov 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Latangela Kendrick
Title
HR Specialist
Phone
(404) 346-8365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary

Addresses

Primary practice location

2605 Fairburn Rd SW
Atlanta, GA 30331-5903

Mailing address

2605 Fairburn Rd SW
Atlanta, GA 30331-5903
Phone (404) 346-8365

Other names 1

  • South Training Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fulton County Mhddad16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations

2605 Fairburn Rd SW
Atlanta, GA 30331
Phone (404) 346-8365

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649346677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 FAIRBURN RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315903",
            "telephone_number": "404-346-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 FAIRBURN RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315903",
            "telephone_number": "404-346-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON COUNTY MHDDAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KENDRICK",
        "authorized_official_first_name": "LATANGELA",
        "authorized_official_title_or_position": "HR SPECIALIST",
        "authorized_official_telephone_number": "404-346-8365"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Training Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 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.