Rachels' Personal Care Home Inc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

084045637A Issued in GA

Legal business name

RACHELS' PERSONAL CARE HOME INC

Practice address

1285 Muirforest Way
Stone Mountain, GA 30088-3235

Phone

(770) 413-3285

NPI assigned

Sep 11, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Mamie Marie Rachels

Title

Administrator

Phone

(770) 298-7937

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1284163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284163200000",
    "number": "1881901874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 MUIRFOREST WAY",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300883235",
            "telephone_number": "770-413-3285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 MUIRFOREST WAY",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300883235",
            "telephone_number": "770-413-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHELS' PERSONAL CARE HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-11",
        "last_updated": "2010-09-11",
        "status": "A",
        "authorized_official_last_name": "RACHELS",
        "authorized_official_first_name": "MAMIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-298-7937",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "GA",
            "license": "084045637A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.