E.K.'S Personal Care Home, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

E.K.'S PERSONAL CARE HOME, LLC

Practice address

1865 Waldrep Cir SE
Marietta, GA 30060-4927

Phone

(678) 491-0078

NPI assigned

Oct 12, 2021

Organization subpart

No

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

Authorized official

Name

Miss Earlean BlackwellNPI 1023677713

Title

Director/Ceo

Phone

(678) 491-0078

Specialties & licenses 1

Addresses

Other names 1

• E.K.'S Personal Care Home, LLC Former legal business name

Practitioners 1

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

• Earlean Blackwell

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Marietta, GA
  • NPI 1023677713
  NPD Authorized official

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1972265478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 WALDREP CIR SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300604927",
            "telephone_number": "678-491-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 WALDREP CIR SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300604927",
            "telephone_number": "678-491-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E.K.'S PERSONAL CARE HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "EARLEAN",
        "authorized_official_title_or_position": "DIRECTOR/CEO",
        "authorized_official_telephone_number": "678-491-0078",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "E.K.'S Personal Care Home, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Dwinston Ministries Inc
• Laura Dyal
• Taylor Ann Dye, APC, MS
• Kira Dzedzy
• Zhaneta Dzmitryieva, MD
• Laurie Liebherr Eads, PHARMD
• Frank Eady, LCSW
• Betsy Lynn Eager Kessel, MS CCCSLP
• Eagle Heart Services
• Kevin S Early, MD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Marietta, GA
• Providers in Marietta, GA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.