Alicia Tate

Primary specialty

HomemakerTaxonomy code 376J00000X

Practice address

8455 Highway 85 Ste A3
Riverdale, GA 30274-5115

Phone

(708) 881-0744

NPI assigned

Feb 8, 2019

Last updated

Feb 8, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Reliable Mobile Drug Testing LLC

  • Point of Service
  • Riverdale, GA
  • NPI 1003371477
  NPD (past) Authorized official

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1760947113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5949 FAIRINGTON RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300381706",
            "telephone_number": "470-274-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8455 HIGHWAY 85 STE A3",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302745115",
            "telephone_number": "708-881-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "ALICIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Sulonteh
• Sunbridge Retirement Care Associates LLC (Riverdale Place Care and Rehabilitation Center)
• Sunrise Plus LLC.
• Jessica D. Talley, LMSW
• Tabe Tambi, MD
• Volanda U Tate
• Clifford Taylor II
• Michael Andrew Taylor, M.S. CCC-SLP
• Tonika Tchampo
• Yannique Tello, CNM

• Homemaker in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Homemaker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.