Organization Active NPI

II Chronicles of Human Services, Inc

  • Community/Behavioral Health Agency
  • Atlanta, GA
National Provider Identifier
1871843474
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
II CHRONICLES OF HUMAN SERVICES, INC
Practice address
2001 Martin Luther King Jr Dr SW Ste 408
Atlanta, GA 30310-5802
Phone
(678) 705-5186
NPI assigned
Sep 12, 2012
Last updated
Sep 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Authorized official

Name
Mrs. Angela Rollins
Title
Human Resource Director
Phone
(678) 596-5256

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Private Vehicle 347C00000X
Early Intervention Provider Agency 252Y00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2001 Martin Luther King Jr Dr SW Ste 408
Atlanta, GA 30310-5802

Mailing address

2001 Martin Luther King Jr Dr SW Ste 408
Atlanta, GA 30310-5802
Phone (678) 705-5186

Other identifiers 1

IdentifierTypeStateIssuer
809275207AMedicaidGA

National Provider Directory

National Provider Directory

Locations

2001 Martin Luther King Jr Dr SW
Ste 408
Atlanta, GA 30310
Phone (678) 705-5186

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1871843474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MARTIN LUTHER KING JR DR SW STE 408",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303105802",
            "telephone_number": "678-705-5186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MARTIN LUTHER KING JR DR SW STE 408",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303105802",
            "telephone_number": "678-705-5186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "II CHRONICLES OF HUMAN SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "ROLLINS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "HUMAN RESOURCE DIRECTOR",
        "authorized_official_telephone_number": "678-596-5256",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "809275207A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.