Keith's Place Personal Care Home,Inc

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

KEITH'S PLACE PERSONAL CARE HOME,INC

Doing business as

keith's place personal care home.Inc

Practice address

2594 Holly Berry TRL
Snellville, GA 30039-4331

Phone

(678) 395-3482

NPI assigned

Mar 7, 2008

Last updated

Mar 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Leeshell AlexanderNPI 1598940629

Title

Director

Phone

(404) 447-3989

Specialties & licenses 1

Addresses

Other names 1

• keith's place personal care home.Inc Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leeshell Alexander, C.N.A

  • Nurse's Aide
  • Lawrenceville, GA
  • NPI 1598940629
  Authorized official Same address or phone

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1821268681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2594 HOLLY BERRY TRL",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300394331",
            "telephone_number": "678-395-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2594 HOLLY BERRY TRL",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300394331",
            "telephone_number": "678-395-3482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH'S PLACE PERSONAL CARE HOME,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "LEESHELL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-447-3989",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "keith's place personal care home.Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kare Mobile
• Nilanee Antonette Karikaran, M.D.
• Omar Rafik Kashlan, M.D.
• Victoria Kastner, RBT
• Clarisse Kehou
• Katherine Keller, CRNA
• Keven Keller, CRNA
• Millie Kelley, M.A., CCC-A
• Courtney Kelly, RBT
• Kelly Kencade-Pichon

• Assisted Living Facility (Mental Illness) in Snellville, GA
• Providers in Snellville, GA by specialty
• Assisted Living Facility (Mental Illness) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.