Care Choice Adult Development Program Inc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

CARE CHOICE ADULT DEVELOPMENT PROGRAM INC

Practice address

1075 Peachtree St NE Ste 3650
Atlanta, GA 30309-3934

Phone

(404) 965-3899

NPI assigned

Feb 13, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Kamitko L Moore

Title

Administrative Assistant

Phone

(248) 864-8290

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1699199554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 PEACHTREE ST NE STE 3650",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093934",
            "telephone_number": "404-965-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 PEACHTREE ST NE STE 3650",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093934",
            "telephone_number": "404-965-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE CHOICE ADULT DEVELOPMENT PROGRAM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-13",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KAMITKO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "248-864-8290",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; 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.