Abc Healthcare of America, LLC.
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Atlanta, GA
NPI 1912200841 · NPPES record last updated Dec 15, 2010
Key facts
- NPI
- 1912200841
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 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
- Organization subpart
- No
Authorized official
- Name
- Ms. Philomena Wright, RN
- Title
- Administrator
- Phone
- (678) 612-2395
Subparts reporting this organization as parent 2
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Abc Healthcare of America LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | GA | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 522154775A | Medicaid | GA |
Other providers in Atlanta, GA
- Shawn Renee Abbott
- Susan E Abbott
- Tea Jeanette Abbracciamento
- Abby Care Georgia LLC
- Abc Healthcare of America, LLC.
- Abc Hearing Professionals LLC.
- Abc Midwifery Clinic LLC
- Anna C Abdala
- Awab Ali Mohammadalkhair Abdalhai
- Anastacia Abdalla
All providers in Atlanta, GA · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.