HOUSE OF CONCRETE ROSES, LLC


Address: 1133 Huff Rd Nw Apt 766, Atlanta, GA 30318-4327
Phone: 4046977360

HOUSE OF CONCRETE ROSES, LLC (NPI# 1528574431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528574431
Entity Type Organization
Organization Name HOUSE OF CONCRETE ROSES, LLC
Practice Address 1133 Huff Rd Nw Apt 766
Atlanta
GA 30318-4327
Practice Telephone 4046977360
Mailing Telephone 4046977360
Enumeration Date 2017-12-15
Last Update Date 2017-12-15
Authorized Official Name TANEQUA DORSEY (OWNER)
Authorized Official Telephone 4046977360
Authorized Official Credential LMSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Office Location

Street Address 1133 HUFF RD NW APT 766
City ATLANTA
State GA
Zip Code 30318-4327

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1558838052 Amanda Renee Wilson Social Worker 2118 Adams Overlook Nw, Atlanta, GA 30318 2018-11-01
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1104372317 Kera Baker Massage Therapist 1397 B Carroll Drive Nw, Atlanta, GA 30318 2016-08-28
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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

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1639268022 George B. West Mental Health Foundation Community Based Residential Treatment Facility, Mental Illness 1903 N Druid Hills Rd Ne, Atlanta, GA 30319-4119 2006-10-12
1952654337 Pathways To Hope LLC Community Based Residential Treatment Facility, Mental Illness 925b Peachtree St Ne, Suite 960, Atlanta, GA 30309-3918 2012-10-22
1316221815 Aiden's Place, LLC Community Based Residential Treatment Facility, Mental Illness 7370 Wright Dr, Atlanta, GA 30349-7911 2011-10-03
1437307345 Unversal Health Services of Anchor, L.p. Community Based Residential Treatment Facility, Mental Illness 5454 Yorktowne Dr, Atlanta, GA 30349-5317 2008-09-04

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1770066029 New Beginnings PCh of Columbus, LLC Community Based Residential Treatment Facility, Mental Illness 639 Lawyers Ln, Columbus, GA 31906-3812 2018-09-12
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1235646217 Clayton Center Mhaddd Community Based Residential Treatment Facility, Mental Illness 5930 Highway 85 Unit 401, Riverdale, GA 30274-1502 2017-12-29
1508391756 Mister Life Coach Community Based Residential Treatment Facility, Mental Illness 3681 N Decatur Rd Apt R11, Decatur, GA 30032-1062 2017-04-25
1306221601 Sharon Tyrell Community Based Residential Treatment Facility, Mental Illness 3387 Thames Pl, Hephzibah, GA 30815-7167 2015-07-28
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Competitor

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City ATLANTA
Zip Code 30318

Improve Information

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Dataset Information

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.

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