New Jerusalem Adult Day Care Center

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

NEW JERUSALEM ADULT DAY CARE CENTER

Practice address

5721 Miller Grove Rd
Lithonia, GA 30058-4823

Phone

(770) 981-7408

NPI assigned

Jan 26, 2011

Organization subpart

No

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

Authorized official

Name

Julia Arlene Edmondson, BA

Title

Director

Phone

(770) 981-7408

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1891091625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5721 MILLER GROVE RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300584823",
            "telephone_number": "770-298-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 MILLER GROVE RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300584823",
            "telephone_number": "770-981-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERUSALEM ADULT DAY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "EDMONDSON",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "ARLENE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "770-981-7408",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "727252881A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Adult Day Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.