Atlanta Nursing Homes Inc

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

License

117876 Issued in TX

Legal business name

ATLANTA NURSING HOMES INC

Practice address

1104 S William St
Atlanta, TX 75551-3246

Phone

(903) 796-0290

Fax

(903) 796-3976

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Leonard M. Jester

Title

Administrator

Phone

(903) 796-0290

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DBA Golden Villa Doing business as

Locations

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229299200000",
    "number": "1811035124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 S WILLIAM ST",
            "city": "ATLANTA",
            "state": "TX",
            "postal_code": "755513246",
            "telephone_number": "903-796-0290",
            "fax_number": "903-796-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 S WILLIAM ST",
            "city": "ATLANTA",
            "state": "TX",
            "postal_code": "755513246",
            "telephone_number": "903-796-0290",
            "fax_number": "903-796-3976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA NURSING HOMES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-12-15",
        "status": "A",
        "authorized_official_last_name": "JESTER",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "903-796-0290",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "TX",
            "license": "117876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000437602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Golden Villa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Atlanta Hospital Authority
• Atlanta Hospital Authority
• Atlanta Hospital Authority
• Atlanta Hospital Authority
• Atlanta Isd
• Atlanta Nursing Homes Inc.
• Chad Eugene Autrey, LMT
• Cheyanne Autry, APRN, FNP-C
• B D Pharmacy Inc
• Subramaniam Balachandran, M.D.

• Pediatric Skilled Nursing Facility in Atlanta, TX
• Providers in Atlanta, TX by specialty
• Pediatric Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; 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.