Organization Active NPI

From the Heart Enterprises, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Decatur, GA
National Provider Identifier
1699138669
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
00139008 Issued in GA
Legal business name
FROM THE HEART ENTERPRISES, INC
Practice address
2188 Riverbrook Rd
Decatur, GA 30035-2924
Phone
(770) 912-5664
NPI assigned
Mar 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Authorized official

Name
Barbara Randall
Title
Ex. Directory
Phone
(770) 912-5664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 00139008 GA Primary

Addresses

Primary practice location

2188 Riverbrook Rd
Decatur, GA 30035-2924

Mailing address

2188 Riverbrook Rd
Decatur, GA 30035-2924
Phone (770) 912-5664

Other identifiers 1

IdentifierTypeStateIssuer
000906265MedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1699138669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2188 RIVERBROOK RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300352924",
            "telephone_number": "770-912-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2188 RIVERBROOK RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300352924",
            "telephone_number": "770-912-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FROM THE HEART ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "EX. DIRECTORY",
        "authorized_official_telephone_number": "770-912-5664"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "GA",
            "license": "00139008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000906265",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.