Abagails Personal Care Home Agency Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

PCH008040 Issued in GA

Legal business name

ABAGAILS PERSONAL CARE HOME AGENCY INC.

Practice address

707 E McIntosh Rd
Griffin, GA 30223-1520

Phone

(678) 993-7585

NPI assigned

Oct 13, 2011

Last updated

Oct 13, 2011By 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. Angela L. McClain

Title

Ceo

Phone

(678) 993-7585

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1861777591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 MISS A MBER WAY",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "30248",
            "telephone_number": "678-993-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 E MCINTOSH RD",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302231520",
            "telephone_number": "678-993-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABAGAILS PERSONAL CARE HOME AGENCY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "MCCLAIN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-993-7585",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "GA",
            "license": "PCH008040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Betremariam Abebe, MD
• Fnu Abhishek
• Rejoice Feyisayo Abiodun, MD
• Elizabeth Able, RN
• Nour Abuzaidieh

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Griffin, GA
• Providers in Griffin, GA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.