Stoneview PCH, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

044-01-903-9 Issued in GA

Legal business name

STONEVIEW PCH, LLC

Practice address

1092 Peggy McMillan Dr
Lithonia, GA 30058-6228

Phone

(770) 879-6935

Fax

(678) 476-1699

NPI assigned

Aug 10, 2010

Organization subpart

Yes

Parent organization

STONEVIEW PCH, LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Jane Moyo

Title

Director

Phone

(404) 819-0657

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1861707283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1092 PEGGY MCMILLAN DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300586228",
            "telephone_number": "770-879-6935",
            "fax_number": "678-476-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1092 PEGGY MCMILLAN DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300586228",
            "telephone_number": "770-879-6935",
            "fax_number": "678-476-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEVIEW PCH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STONEVIEW PCH, LLC",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "MOYO",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-819-0657",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "GA",
            "license": "044-01-903-9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mara Stewart, MEDICAL BILLING
• Ronnie Lynn Stewart, DDS
• Vanessa Stillings, RN, BSN
• Stonecrest Denture Center
• Stonecrest Pediatric & Adult Medicine, Inc,
• Debra Ann Stover, NP-C
• Ramona S Styles-Burrows, MD
• Supreme Quality Home Care LLC
• Cieria Swain
• Katelyn Swann

• Adult Care Home Facility in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Adult Care Home Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.