Active NPI
Generational Legacy Builders
- Voluntary or Charitable Agency
- Atlanta, GA
National Provider Identifier
1750147880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- Legal business name
- GENERATIONAL LEGACY BUILDERS
- Practice address
- 4291 Stonewall Tell Rd
Atlanta, GA 30349-1542 - Phone
- (323) 452-3261
- NPI assigned
- Feb 26, 2024
- 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
- Duwayne Barrett, RN
- Title
- Director
- Phone
- (323) 452-3261
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Home Health Agency | 251E00000X | |||
| Nursing Care Agency | 251J00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Voluntary or Charitable Agency | 251V00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
4291 Stonewall Tell Rd
Atlanta, GA 30349-1542
Mailing address
4827 Old National Hwy # 1266
College Park, GA 30337-6234
Phone (323) 452-3261
Other practice location 1
525 Prince Of Wales
Stone Mountain, GA 30083-6127
Phone (323) 452-3261
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Atlanta, GA
- NPI 1518723642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711411200000",
"number": "1750147880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4827 OLD NATIONAL HWY # 1266",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "303376234",
"telephone_number": "323-452-3261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4291 STONEWALL TELL RD",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303491542",
"telephone_number": "323-452-3261"
}
],
"practiceLocations": [
{
"address_1": "525 Prince Of Wales",
"address_purpose": "LOCATION",
"city": "Stone Mountain",
"state": "GA",
"postal_code": "300836127",
"country_code": "US",
"telephone_number": "323-452-3261",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GENERATIONAL LEGACY BUILDERS",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-26",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A",
"authorized_official_last_name": "BARRETT",
"authorized_official_first_name": "DUWAYNE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "323-452-3261",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"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 Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.