Enable of Georgia, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

ENABLE OF GEORGIA, INC.

Practice address

1200 Old Ellis Rd
Roswell, GA 30076-3850

Phone

(770) 664-4347

Fax

(770) 740-0650

NPI assigned

Sep 16, 2013

Last updated

Sep 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Harry Stern, PHD

Title

Chief Executive Officer

Phone

(770) 664-4347

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379376000000",
    "number": "1902232598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 OLD ELLIS RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763850",
            "telephone_number": "770-664-4347",
            "fax_number": "770-740-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 OLD ELLIS RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763850",
            "telephone_number": "770-664-4347",
            "fax_number": "770-740-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENABLE OF GEORGIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-16",
        "last_updated": "2013-09-17",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "770-664-4347",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual Disabilities Intermediate Care Facility in Roswell, GA
• Providers in Roswell, GA by specialty
• Intellectual Disabilities Intermediate Care Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.