Active NPI
From Our Heart to Your Heart Personal Care Home
- Custodial Care Facility
- Lithonia, GA
National Provider Identifier
1730467911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Custodial Care Facility
- Legal business name
- FROM OUR HEART TO YOUR HEART PERSONAL CARE HOME
- Practice address
- 4485 Idlewood Park
Lithonia, GA 30038 - Phone
- (404) 731-4519
- Fax
- (404) 288-4059
- NPI assigned
- Jul 22, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ernestine Elliott
- Title
- Partner
- Phone
- (404) 731-4519
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | Primary |
Addresses
Primary practice location
4485 Idlewood Park
Lithonia, GA 30038
Mailing address
3341 York Place
Decatur, GA 30032
Phone (404) 731-4519
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1311292800000",
"number": "1730467911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3341 YORK PLACE",
"city": "DECATUR",
"state": "GA",
"postal_code": "30032",
"telephone_number": "404-731-4519",
"fax_number": "404-288-4059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4485 IDLEWOOD PARK",
"city": "LITHONIA",
"state": "GA",
"postal_code": "30038",
"telephone_number": "404-731-4519",
"fax_number": "404-288-4059"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FROM OUR HEART TO YOUR HEART PERSONAL CARE HOME",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-22",
"last_updated": "2011-07-22",
"status": "A",
"authorized_official_last_name": "ELLIOTT",
"authorized_official_first_name": "ERNESTINE",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "404-731-4519"
},
"taxonomies": [
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lithonia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.