NPIMap

Organization Active NPI

Abc Healthcare of America, LLC.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Atlanta, GA
National Provider Identifier
1912200841
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
ABC HEALTHCARE OF AMERICA, LLC.
Practice address
5756 Harrier LN
Atlanta, GA 30349-8868
Phone
(678) 612-2395
Fax
(678) 519-3043
NPI assigned
Dec 15, 2010
Last updated
Dec 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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

Authorized official

Name
Ms. Philomena Wright, RNNPI 1710742184
Title
Administrator
Phone
(678) 612-2395

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X GA Primary

Addresses

Primary practice location

5756 Harrier LN
Atlanta, GA 30349-8868

Mailing address

5756 Harrier LN
Atlanta, GA 30349-8868
Phone (678) 612-2395

Other identifiers 1

IdentifierTypeStateIssuer
522154775AMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Abc Healthcare of America LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1912200841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5756 HARRIER LN",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303498868",
            "telephone_number": "678-612-2395",
            "fax_number": "678-519-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5756 HARRIER LN",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303498868",
            "telephone_number": "678-612-2395",
            "fax_number": "678-519-3043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC HEALTHCARE OF AMERICA, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "PHILOMENA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-612-2395",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "522154775A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.