We Are One Group Home LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

WE ARE ONE GROUP HOME LLC

Doing business as

wao

Practice address

5456 Salem Springs Dr
Lithonia, GA 30038-4821

Phone

(770) 572-0012

NPI assigned

May 5, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Christiie Wilson

Title

Ceo

Phone

(770) 572-0012

Specialties & licenses 1

Addresses

Other names 1

• wao Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christie Wilson

  • Contractor
  • Lithonia, GA
  • NPI 1649686122
  NPD (past)

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1649680315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5456 SALEM SPRINGS DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300384821",
            "telephone_number": "770-572-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5456 SALEM SPRINGS DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300384821",
            "telephone_number": "770-572-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WE ARE ONE GROUP HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CHRISTIIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-572-0012",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "wao",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clyde Watkins Jr., MD, FACP
• Iesha Watkins
• Raven Samone Watkins
• Veronica A Watkins
• Tawanda L Watson
• Ann M Weathersby, CNM
• Nekia Weaver
• Sarah Weaver
• Tameria James Weaver
• Kimberly A Weems, CN0008950961

• Mental Illness Community Based Residential Treatment Facility in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Mental Illness Community Based Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.