Active NPI
Forever Care Inc
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Decatur, GA
National Provider Identifier
1831464411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- CLA000917
- Legal business name
- FOREVER CARE INC
- Practice address
- 2662 Rainbow Creek Dr
Decatur, GA 30034-2155 - Phone
- (404) 348-8353
- Fax
- (404) 973-0289
- NPI assigned
- Mar 15, 2012
- 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. Tanisha Farquharson
- Title
- Ceo / Director
- Phone
- (404) 348-8353
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | CLA000917 | GA | Primary |
Addresses
Primary practice location
2662 Rainbow Creek Dr
Decatur, GA 30034-2155
Mailing address
6654 Hawes Dr
Lithonia, GA 30058-4631
Phone (404) 348-8353
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331769600000",
"number": "1831464411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6654 HAWES DR",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300584631",
"telephone_number": "404-348-8353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2662 RAINBOW CREEK DR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300342155",
"telephone_number": "404-348-8353",
"fax_number": "404-973-0289"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOREVER CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-15",
"last_updated": "2012-03-15",
"status": "A",
"authorized_official_last_name": "FARQUHARSON",
"authorized_official_first_name": "TANISHA",
"authorized_official_title_or_position": "CEO / DIRECTOR",
"authorized_official_telephone_number": "404-348-8353",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "GA",
"license": "CLA000917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.