Edna Mae Lockett Personal Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

EDNA MAE LOCKETT PERSONAL CARE HOME

Practice address

7566 Union Grove Rd
Lithonia, GA 30058-5081

Phone

(404) 969-8079

NPI assigned

Mar 8, 2017

Organization subpart

No

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

Authorized official

Name

Tawanda Vauss

Title

Director

Phone

(404) 969-8079

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1922549070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7566 UNION GROVE RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300585081",
            "telephone_number": "404-969-8079",
            "fax_number": "770-559-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7566 UNION GROVE RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300585081",
            "telephone_number": "404-969-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDNA MAE LOCKETT PERSONAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-08",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "VAUSS",
        "authorized_official_first_name": "TAWANDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-969-8079"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Adult Care Home Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.