Organization Active NPI

A&U Personal Care Home

  • Adult Care Home Facility
  • Hampton, GA
National Provider Identifier
1932879673
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
A&U PERSONAL CARE HOME
Practice address
11003 Shannon Cir
Hampton, GA 30228-3315
Phone
(404) 667-7811
NPI assigned
Sep 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Authorized official

Name
Josue UlysseNPI 1720464886
Title
Owner
Phone
(404) 667-7811

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
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

11003 Shannon Cir
Hampton, GA 30228-3315

Mailing address

11003 Shannon Cir
Hampton, GA 30228-3315
Phone (404) 667-7811

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": "1631664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1932879673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11003 SHANNON CIR",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302283315",
            "telephone_number": "404-667-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11003 SHANNON CIR",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302283315",
            "telephone_number": "404-667-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A&U PERSONAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "ULYSSE",
        "authorized_official_first_name": "JOSUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-667-7811"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.