Serving One of US

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

600242281A Issued in GA

Legal business name

SERVING ONE OF US

Practice address

1544 Wellborn Rd
#3
Lithonia, GA 30058-5492

Phone

(404) 428-2749

Fax

(770) 786-0499

NPI assigned

Sep 4, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Shirley Walker Worthy

Title

Owner/Director/Administrator

Phone

(404) 428-2749

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1283558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283558400000",
    "number": "1720395270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 WELLBORN RD",
            "address_2": "#3",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300585492",
            "telephone_number": "404-428-2749",
            "fax_number": "770-786-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 WELLBORN RD",
            "address_2": "#3",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300585492",
            "telephone_number": "404-428-2749",
            "fax_number": "770-786-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVING ONE OF US",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-04",
        "last_updated": "2010-09-04",
        "status": "A",
        "authorized_official_last_name": "WORTHY",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "WALKER",
        "authorized_official_title_or_position": "OWNER/DIRECTOR/ADMINISTRATOR",
        "authorized_official_telephone_number": "404-428-2749",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "GA",
            "license": "600242281A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600242281A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Developmentally Disabled Services Day Training Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2010; 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.