Organization Active NPI

Philpot Personal Care Home

Doing business as Atlanta Residential Care Home

  • Home Health Agency
  • Atlanta, GA
National Provider Identifier
1689860256
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PHILPOT PERSONAL CARE HOME
Doing business as
Atlanta Residential Care Home
Practice address
4760 Cascade Rd SW
Atlanta, GA 30331-7348
Phone
(404) 625-1688
Fax
(404) 699-9807
NPI assigned
Sep 18, 2007
Last updated
Sep 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Authorized official

Name
Mrs. Sheryl Ann GlassNPI 1033718739
Title
Administrator
Phone
(404) 625-1688

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

4760 Cascade Rd SW
Atlanta, GA 30331-7348

Mailing address

4760 Cascade Rd SW
Atlanta, GA 30331-7348
Phone (404) 625-1688

Other names 1

  • Atlanta Residential Care Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Atlanta Residential Care Home2 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": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1689860256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 CASCADE RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303317348",
            "telephone_number": "404-625-1688",
            "fax_number": "404-699-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 CASCADE RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303317348",
            "telephone_number": "404-625-1688",
            "fax_number": "404-699-9807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILPOT PERSONAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-625-1688",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlanta Residential Care Home",
            "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 Sep 18, 2007; 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.