BJ&W Personal Care Home Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

BJ&W PERSONAL CARE HOME INC.

Practice address

951 Pine Roc Dr
Stone Mountain, GA 30083-3523

Phone

(770) 498-7790

Fax

(678) 344-3109

NPI assigned

Dec 21, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Barbara Jeanne Austin, MSW

Title

Ceo/Social Worker

Phone

(678) 521-1385

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1760666143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 PINE ROC DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833523",
            "telephone_number": "770-498-7790",
            "fax_number": "678-344-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 PINE ROC DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833523",
            "telephone_number": "770-498-7790",
            "fax_number": "678-344-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BJ&W PERSONAL CARE HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "CEO/SOCIAL WORKER",
        "authorized_official_telephone_number": "678-521-1385",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Deanna Bland
• Jeffrey C Blankenship, DMD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.