NPIMap

Organization Active NPI

United Hands Support Services

Doing business as Ridge Manor PCH

  • Adult Care Home Facility
  • Canton, GA
National Provider Identifier
1679174437
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
UNITED HANDS SUPPORT SERVICES
Doing business as
Ridge Manor PCH
Practice address
735 Ridge Rd
Canton, GA 30114-4170
Phone
(470) 469-7136
Fax
(678) 792-5330
NPI assigned
Nov 6, 2020
Last updated
Nov 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Authorized official

Name
Mrs. Annie Lum, RNNPI 1518222694
Title
Administrator
Phone
(470) 469-7136

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X NU Primary

Addresses

Primary practice location

735 Ridge Rd
Canton, GA 30114-4170

Mailing address

735 Ridge Rd
Canton, GA 30114-4170
Phone (470) 469-7136

Other names 1

  • Ridge Manor PCH Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lum Personal Care Home LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1679174437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 RIDGE RD",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301144170",
            "telephone_number": "470-469-7136",
            "fax_number": "678-792-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 RIDGE RD",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301144170",
            "telephone_number": "470-469-7136",
            "fax_number": "678-792-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED HANDS SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "LUM",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "470-469-7136",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridge Manor PCH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.