Active NPI
South Horizon Healthcare LLC
- Assisted Living Facility
- Stockbridge, GA
National Provider Identifier
1801230586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- SOUTH HORIZON HEALTHCARE LLC
- Practice address
- 4030 North Henry BLV.
Suite 201
Stockbridge, GA 30281 - Phone
- (770) 584-6042
- NPI assigned
- Apr 24, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sandra F. Bryant
- Title
- RN Manager
- Phone
- (770) 584-6042
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary | ||
| Mental Illness Intermediate Care Facility | 310500000X |
Addresses
Primary practice location
4030 North Henry BLV.
Suite 201
Stockbridge, GA 30281
Mailing address
4030 North Henry BLV.
Suite 201
Stockbridge, GA 30281
National Provider Directory
National Provider DirectoryLocations
4030 N Henry Blvd
Ste 201
Stockbridge, GA 30281
Phone (770) 584-6042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366761600000",
"number": "1801230586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4030 NORTH HENRY BLV.",
"address_2": "SUITE 201",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "30281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4030 NORTH HENRY BLV.",
"address_2": "SUITE 201",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "30281",
"telephone_number": "770-584-6042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH HORIZON HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-24",
"last_updated": "2013-04-24",
"status": "A",
"authorized_official_last_name": "BRYANT",
"authorized_official_first_name": "SANDRA",
"authorized_official_middle_name": "F.",
"authorized_official_title_or_position": "RN MANAGER",
"authorized_official_telephone_number": "770-584-6042",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "310500000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockbridge, GA
- Soul Solutions Therapeutic Services, LLC
- South Atlanta Ambulatory Surgical Center, LLC
- South Atlanta Neurology & Pain Clinic, PC
- South Atlanta Neurosurgery
- South Atlanta Vascular Institute, LLC
- South Metro Bone & Joint PC
- South Metro Rehab and Sports Medicine, LLC
- Southern Compassion Home Care LLC
- Southern Crescent Care,LLC
- Southern Crescent Endoscopy Suite, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.