Chelsea Personal Care Home, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

PCH008063 Issued in GA

Legal business name

CHELSEA PERSONAL CARE HOME, LLC

Practice address

2333 Brookgate Way
Ellenwood, GA 30294-2398

Phone

(404) 370-4144

Fax

(404) 745-0239

NPI assigned

Jun 29, 2011

Organization subpart

No

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

Authorized official

Name

Melissa D Thiompson

Title

Ceo

Phone

(404) 370-4144

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1801183892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 MOUNT ZION RD",
            "address_2": "#357",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302603313",
            "telephone_number": "404-370-4144",
            "fax_number": "404-745-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 BROOKGATE WAY",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302942398",
            "telephone_number": "404-370-4144",
            "fax_number": "404-745-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHELSEA PERSONAL CARE HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "THIOMPSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-370-4144"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "GA",
            "license": "PCH008063",
            "primary": true
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "GA",
            "license": "PCH008063",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joe S. Chafin, DMD
• Nicole Chambers, RPH
• Lakesha M Chandler
• Deborah Shirley Charles-Baptiste
• Joquan Charleswell, DC
• Tequila Chester
• Doo Woong Choi, MD
• Chosen Healthcare Services, LLC
• Terrance Clay, BCBA,LBA
• Clay'S Behavioral Group

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Ellenwood, GA
• Providers in Ellenwood, GA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.