Organization · NPI-2
Open Hearts Personal Care Homes, LLC
Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Lithonia, GA
NPI number1164545539
StatusActive
Last updated in NPPESJul 7, 2008
Details
- NPI
- 1164545539
- Entity type
- Organization (NPI-2)
- Legal business name
- Open Hearts Personal Care Homes, LLC
- Organization subpart
- No
- Enumeration date
- Apr 9, 2007
- Last updated
- Jul 7, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
4031 Belmont Ridge DrLithonia, GA 30038-4069
Phone 770-981-3497
Mailing address
3418 Breton Ct NeAtlanta, GA 30319-2408
Phone 770-323-3751 · Fax 404-551-3448
Authorized official
Dianna Annette Clarkson
Managing Principal
6784101669
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.