Adk Bonterra Parkview, LLC
Organization Active NPI Skilled Nursing Facility · Atlanta, GA
NPI 1710068564 · NPPES record last updated Apr 24, 2014
Key facts
- NPI
- 1710068564
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 005657LGB (GA)
- Legal business name
- ADK BONTERRA PARKVIEW, LLC
- Practice address
- 460 Auburn Ave NE
Atlanta, GA 30312-1504 - Phone
- (404) 523-1613
- Fax
- (404) 681-4536
- NPI assigned
- Oct 18, 2006
- Organization subpart
- No
Authorized official
- Name
- David Rubenstein
- Title
- Coo
- Phone
- (678) 869-5116
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- 460 Auburn Avenue LP
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 005657LGB | GA | Yes |
Addresses
Primary practice location
460 Auburn Ave NE
Atlanta, GA 30312-1504
Mailing address
460 Auburn Ave NE
Atlanta, GA 30312-1504
Phone (404) 523-1613
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000141831A | Medicaid | GA |
Other names
- Legacy Nursing & Rehabilitation Center
Other providers in Atlanta, GA
- Dina Adimora-Onwuka
- Ijele Adimora
- Bright Adiri
- Nancy Adiri
- Priscilla F Adjei
- Lynsey Adkins
- Susan Hocevar Adkins
- Teresa Adkins
- Joel Martin Adler
- Jonah M Adler
All providers in Atlanta, GA · Skilled Nursing Facility in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.