Delta & Charley 3208 LLC

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

DELTA & CHARLEY 3208 LLC

Practice address

3208 Jodeco Dr
Jonesboro, GA 30236-5324

Phone

(619) 392-7246

NPI assigned

Nov 14, 2024

Organization subpart

No

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

Authorized official

Name

David Lighten

Title

Ceo

Phone

(619) 392-7246

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1790509859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 JODECO DR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302365324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 JODECO DR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302365324",
            "telephone_number": "619-392-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA & CHARLEY 3208 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "LIGHTEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-392-7246"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Respite Care in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Respite Care in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.

Verify at the official NPI Registry.