PHILPOT PERSONAL CARE HOME (NPI# 1255525952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255525952 |
| Entity Type | Organization |
| Organization Name | PHILPOT PERSONAL CARE HOME |
| Other Organization Name | ATLANTA RESIDENTIAL CARE HOME |
| Practice Address |
4760 Cascade Rd Sw Atlanta GA 30331-7348 |
| Practice Telephone | 4045057585 |
| Practice Fax Number | 4046999807 |
| Mailing Telephone | 4045057585 |
| Mailing Fax Number | 4046999807 |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2007-09-05 |
| Authorized Official Name | MS. SHERYL ANN GLASS (ADMINISTRATOR) |
| Authorized Official Telephone | 4046251688 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | GA | Residential Treatment Facilities | |
| N | 385H00000X | Respite Care | GA | Respite Care Facility | |
| N | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
GA | Respite Care Facility | |
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | GA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Atlanta Residential Care Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689860256 | Philpot Personal Care Home | Community/Behavioral Health | 4760 Cascade Rd Sw, Atlanta, GA 30331-7348 | 2007-09-18 |
| Street Address |
4760 CASCADE RD SW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30331-7348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718739 | Sheryl Glass | Home Health | 4760 Cascade Rd Sw, Atlanta, GA 30331-7348 | 2020-10-22 |
| 1689860256 | Philpot Personal Care Home | Community/Behavioral Health | 4760 Cascade Rd Sw, Atlanta, GA 30331-7348 | 2007-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861001174 | Whitney Flemister | Social Worker | 3961 Princeton Lakes Way Sw, Atlanta, GA 30331 | 2020-07-23 |
| 1982237400 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5829 Campbellton Road, S.w, Suite 110, Atlanta, GA 30331 | 2020-02-13 |
| 1295375558 | Drusilla Precious Cudjoe | Behavior Technician | 3800 Camp Creek Parkway Sw, Building 1400, Atlanta, GA 30331 | 2020-01-14 |
| 1497262778 | Champions Pharmacy | Pharmacy | 3886 Princeton Lakes Way Suite 180, Atlanta, GA 30331 | 2018-01-08 |
| 1033629779 | Carmen Ardoin | Counselor | 2636 Martin Luther King Jr. Drive, Suite 12, Atlanta, GA 30331 | 2017-10-09 |
| 1346759974 | Neva R Allison | Nurse Practitioner | 2611 Dayview Ln, Atlanta, GA 30331 | 2017-09-26 |
| 1538678255 | Natalie Mckay | Technician/Technologist | 3915 Cascade Rd, 220, Atlanta, GA 30331 | 2017-09-26 |
| 1700304268 | Tyrone Pipkin | Contractor | 415 Kendrick Terrace Sw, Atlanta, GA 30331 | 2017-09-05 |
| 1073031688 | Kristen Wooldridge | Pharmacist | 3695 Cascade Road, Atlanta, GA 30331 | 2017-09-04 |
| 1548704687 | Advance Pain Management | Health Maintenance Organization | 2950 Stone Hogan Road Connector, Atlanta, GA 30331 | 2016-12-08 |
| Find all providers in zip 30331 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811400294 | Abc Healthcare of America, LLC. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5532 Old National Hwy Bldg G, Atlanta, GA 30349-3277 | 2017-11-08 |
| 1245656131 | Omni First Homes, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4492 Bakers Ferry Rd Sw, Atlanta, GA 30331-4502 | 2014-03-15 |
| 1376815878 | L Battlo, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3550 Keels Ln, Atlanta, GA 30349-4546 | 2012-01-31 |
| 1720382039 | Rosalena's Community Development Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 350 Schoen St Se, Atlanta, GA 30315-5308 | 2010-12-29 |
| 1912200841 | Abc Healthcare of America, LLC. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5756 Harrier Ln, Atlanta, GA 30349-8868 | 2010-12-15 |
| 1235431651 | Thomas Assisted Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6495 Greenbower Ln, Atlanta, GA 30349-4873 | 2010-11-18 |
| 1366752578 | Ijn Child & Adult Care Homes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1949 Vicki Lane, Atlanta, GA 30316-4108 | 2010-10-21 |
| 1255566501 | Childkind, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3107 Clairmont Rd Ne, Suite A, Atlanta, GA 30329-1015 | 2009-05-15 |
| 1316126105 | Your Friends and Neighbors of Ga, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2358 Perimeter Park Dr, Suite 320, Atlanta, GA 30341-1332 | 2007-10-29 |
| 1962556332 | Jewish Family & Career Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4549 Chamblee Dunwoody Rd, Atlanta, GA 30338-6210 | 2007-01-23 |
| Find all providers in ATLANTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.