Gleaton Home Providers

Primary specialty

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

Legal business name

GLEATON HOME PROVIDERS

Practice address

80 Wisteria Dr
Oxford, GA 30054-4018

Phone

(678) 625-8897

Fax

(678) 625-0619

NPI assigned

Dec 24, 2006

Organization subpart

No

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

Authorized official

Name

Nikki Gleaton

Title

Ceo

Phone

(678) 625-8897

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1166918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891850582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 WISTERIA DR",
            "city": "OXFORD",
            "state": "GA",
            "postal_code": "300544018",
            "telephone_number": "678-625-8897",
            "fax_number": "678-625-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 WISTERIA DR",
            "city": "OXFORD",
            "state": "GA",
            "postal_code": "300544018",
            "telephone_number": "678-625-8897",
            "fax_number": "678-625-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEATON HOME PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLEATON",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-625-8897"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Aug 22, 2020; 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.