Organization Active NPI

A Change of Care

  • Adult Care Home Facility
  • Atlanta, GA
National Provider Identifier
1740479864
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
RN168077 Issued in GA
Legal business name
A CHANGE OF CARE
Practice address
360 Twin Tendrils SW
Atlanta, GA 30331-7271
Phone
(404) 680-8851
NPI assigned
Oct 15, 2007
Last updated
Oct 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
Renae Lynn Holliday, RN
Title
Nursing Consultant/Executive Direct
Phone
(404) 680-8851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X RN168077 GA Primary

Addresses

Primary practice location

360 Twin Tendrils SW
Atlanta, GA 30331-7271

Mailing address

360 Twin Tendrils SW
Atlanta, GA 30331-7271
Phone (404) 680-8851

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1740479864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 TWIN TENDRILS SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303317271",
            "telephone_number": "404-680-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 TWIN TENDRILS SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303317271",
            "telephone_number": "404-680-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A CHANGE OF CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "HOLLIDAY",
        "authorized_official_first_name": "RENAE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "NURSING CONSULTANT/EXECUTIVE DIRECT",
        "authorized_official_telephone_number": "404-680-8851",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "GA",
            "license": "RN168077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.