Organization Active NPI

House of Inspiration Group Home, Inc

  • Community/Behavioral Health Agency
  • Riverdale, GA
National Provider Identifier
1730361775
Registry record updated Dec 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HOUSE OF INSPIRATION GROUP HOME, INC
Practice address
804 Commerce Blvd
Suite A2
Riverdale, GA 30296-7198
Phone
(678) 479-7040
Fax
(678) 731-1552
NPI assigned
Dec 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2007

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

Authorized official

Name
Mr. Keith Thompson
Title
Chief Executive Officer
Phone
(678) 777-3635

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X GA Primary

Addresses

Primary practice location

804 Commerce Blvd
Suite A2
Riverdale, GA 30296-7198

Mailing address

PO Box 741207
Riverdale, GA 30274-1319
Phone (678) 479-7040

Other names 1

  • House of Inspiration Other name

National Provider Directory

National Provider Directory

Locations

804 Commerce Blvd
Ste A2
Riverdale, GA 30296
Phone (678) 479-7040

NPI Registry JSON

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

{
    "created_epoch": "1196467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196467200000",
    "number": "1730361775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741207",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302741319",
            "telephone_number": "678-479-7040",
            "fax_number": "678-731-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 COMMERCE BLVD",
            "address_2": "SUITE A2",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302967198",
            "telephone_number": "678-479-7040",
            "fax_number": "678-731-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF INSPIRATION GROUP HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-01",
        "last_updated": "2007-12-01",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "678-777-3635",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "House of Inspiration",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Riverdale, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.

Verify at the official NPI Registry.