Active NPI
Philpot Personal Care Home
Doing business as Atlanta Residential Care Home
- Home Health Agency
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2007
- 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
- Mrs. Sheryl Ann Glass
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Atlanta Residential Care Home
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Atlanta Residential Care Home
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Atlanta, GA
- NPI 1255525952
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.