PRESTIGE COMMUNITY LIVING CENTER


Address: 2328 Bigwood Trl, Atlanta, GA 30349-9049
Phone: 6789834330

PRESTIGE COMMUNITY LIVING CENTER (NPI# 1548649494) 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) 1548649494
Entity Type Organization
Organization Name PRESTIGE COMMUNITY LIVING CENTER
Practice Address 2328 Bigwood Trl
Atlanta
GA 30349-9049
Practice Telephone 6789834330
Mailing Telephone 6789834330
Enumeration Date 2015-05-26
Last Update Date 2015-05-26
Authorized Official Name ADEYEMI MAKANJUOLA (CEO)
Authorized Official Telephone 6787615414
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities PCH008531 GA Residential Treatment Facilities

Office Location

Street Address 2328 BIGWOOD TRL
City ATLANTA
State GA
Zip Code 30349-9049

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376185686 Kmb Diagnostics Durable Medical Equipment & Medical Supplies 941 Flat Shoals Rd, Atlanta, GA 30349 2019-10-09
1114575859 Justin Vassell Registered Nurse 1903 Phoenix Boulevard, Suite 200, College Park, GA 30349 2019-08-27
1841856663 Kennyetta Danielle Watkins Counselor 1431 Riverwalk Ln, Apt. F, College Park, GA 30349 2019-05-16
1275002636 Patriot Healthcare of Georgia, LLC Family Medicine 1587 Phoenix Boulevard, Suite 6, College Park, GA 30349 2018-11-15
1669971875 Ee Consulting Solution Case Management 6320 Topaz Tral, Arlanta, GA 30349 2018-02-03
1629595640 Shayla Bouie Contractor 5420 Riverdale Rd Apt D17, Atlanta, GA 30349 2017-08-30
1114475563 Jasmine V Mccully Social Worker 5864 Summergien Lane, College Park, GA 30349 2016-09-14
1639537681 Shelia Thornton Counselor 5856 Seabright Lane, Atlanta, GA 30349 2016-02-05
1346610177 Joanne Resilard Nurse Practitioner 2931 Herron Ln Sw, Atlanta, GA 30349 2015-10-06
1063805091 Southwest Atlanta Medical & Rehabilitation Clinic LLC Family Medicine 495 85 Circle, Suite 100, Atlanta, GA 30349 2015-03-16
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Taxonomy Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417232638 Giles Holdings International, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 5400 Roswell Rd Suite M4, Atlanta, GA 30342 2011-10-19
1164726204 Intergrity Personal Care Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4192 Kenwood Trl, Atlanta, GA 30349-1979 2011-01-04
1124201561 Your Friends and Neighbors of Ga, Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2358 Perimeter Park Dr, Suite 320, Atlanta, GA 30341-1332 2007-12-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1437764925 Calveina Forde Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 538 Country Lake Dr, Mcdonough, GA 30252-2683 2020-09-10
1730715814 Tyler Rose Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 116 South Mill Creek Court, Woodstock, GA 30188 2020-03-20
1023677713 Earlean Blackwell Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1865 Waldrep Cir Se, Marietta, GA 30060-4927 2019-06-06
1629535216 Carpenter Host Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 806 Grady Ave N, Douglas, GA 31533-4812 2019-03-01
1700354859 View Point Health Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 160 Longstreet Cir, Oxford, GA 30054-2244 2018-11-07
1760950901 View Point Health Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2116 Tudor Castle Cir, Decatur, GA 30035-2158 2018-11-06
1144747437 Willie Mae Berry Pugh Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2013 Teal Court, Hephzibah, GA 30815 2017-08-28
1881116721 Springhill Manor Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 600 Spring Hill Drive, Covington, GA 30016 2017-07-12
1093175283 Peaceful River Residential Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 746 Rudgate Rd, Columbus, GA 31904-2929 2016-03-01
1568840320 Say So Private Home Care Services, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4485 Dorset Cir, Decatur, GA 30035-4206 2015-05-13
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Competitor

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City ATLANTA
Zip Code 30349

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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