Organization Active NPI

Allegiance Personal Care Home

  • Adult Care Home Facility
  • Atlanta, GA
National Provider Identifier
1801146204
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
ALLEGIANCE PERSONAL CARE HOME
Practice address
1473 Timms Cir SE
Atlanta, GA 30316-3423
Phone
(404) 246-6606
Fax
(404) 601-9919
NPI assigned
Sep 12, 2012
Last updated
Sep 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Authorized official

Name
Ms. Gloriqua Shanai Hill
Title
Owner/ Manager
Phone
(404) 246-6606

Specialties & licenses 1

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

Addresses

Primary practice location

1473 Timms Cir SE
Atlanta, GA 30316-3423

Mailing address

1473 Timms Cir SE
Atlanta, GA 30316-3423
Phone (404) 246-6606

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1801146204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1473 TIMMS CIR SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303163423",
            "telephone_number": "404-246-6606",
            "fax_number": "404-601-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1473 TIMMS CIR SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303163423",
            "telephone_number": "404-246-6606",
            "fax_number": "404-601-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGIANCE PERSONAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "GLORIQUA",
        "authorized_official_middle_name": "SHANAI",
        "authorized_official_title_or_position": "OWNER/ MANAGER",
        "authorized_official_telephone_number": "404-246-6606",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "GA",
            "license": null,
            "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 Sep 12, 2012; 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.