Organization Active NPI

Forever Care Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Decatur, GA
National Provider Identifier
1831464411
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
CLA000917 Issued in GA
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

Updated by the provider on Mar 15, 2012

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.