Moreland Personal Care Home Inc.

Primary specialty

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

Legal business name

MORELAND PERSONAL CARE HOME INC.

Practice address

2670 Owens Ave SW
Marietta, GA 30064-4266

Phone

(770) 222-1774

Fax

(678) 921-9571

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Alicia Francine Moreland

Title

Director

Phone

(770) 222-1774

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1902022429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 OWENS AVE SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300644266",
            "telephone_number": "770-222-1774",
            "fax_number": "770-222-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 OWENS AVE SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300644266",
            "telephone_number": "770-222-1774",
            "fax_number": "678-921-9571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2670 Bankstone Dr SW",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300644310",
            "country_code": "US",
            "telephone_number": "678-581-5090",
            "fax_number": "678-921-9571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2665 Candler Dr SW",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300644278",
            "country_code": "US",
            "telephone_number": "770-693-9446",
            "fax_number": "678-921-9571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MORELAND PERSONAL CARE HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "MORELAND",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "FRANCINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "770-222-1774",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00938033A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amit Morar, DDS
• Albert Benjamin Moravitz, TH.D., LPC, NCC
• Krystal Morbeth, RBT
• Mark F Morel Jr.
• Suguarina Morel
• Angelique Moreland
• Lea Morelle, PMHNP
• Morgan Healthcare Plus Solutions
• Morgan Medical Associates
• Morgan Medical Associates LLC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Marietta, GA
• Providers in Marietta, 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 May 22, 2023; 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.