Organization Active NPI

Irie Community Living LLC

  • Day Training/Habilitation Specialist
  • Fayetteville, GA
National Provider Identifier
1922967017
Registry record updated Jan 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
Legal business name
IRIE COMMUNITY LIVING LLC
Practice address
729 S Jeff Davis Dr
Fayetteville, GA 30215-2416
Phone
(943) 237-2892
NPI assigned
Jan 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2026

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

Authorized official

Name
Keshia Kirtz, LMSWNPI 1740635374
Title
Director
Phone
(943) 237-2892

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 373H00000X Primary

Addresses

Primary practice location

729 S Jeff Davis Dr
Fayetteville, GA 30215-2416

Mailing address

805 Glynn St S Ste 127
PMB #196
Fayetteville, GA 30214-2077
Phone (943) 237-2892

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1768435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768694400000",
    "number": "1922967017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 GLYNN ST S STE 127",
            "address_2": "PMB #196",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142077",
            "telephone_number": "943-237-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 S JEFF DAVIS DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302152416",
            "telephone_number": "943-237-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRIE COMMUNITY LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-15",
        "last_updated": "2026-01-18",
        "certification_date": "2026-01-18",
        "status": "A",
        "authorized_official_last_name": "KIRTZ",
        "authorized_official_first_name": "KESHIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "943-237-2892",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

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