New Domus Personal Care, Llc

  • 1639377385 NPI Number
  • |
  • Actived: 16 years ago
  • |
New Domus Personal Care, Llc is a health care provider based in College Park, GA. The NPI Number is 1639377385 and it has been active since 16 years ago. The specialty is Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities services, New Domus Personal Care, Llc is an excellent option. We are here to help you get the care you need.

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Overview of New Domus Personal Care, Llc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 07/04/2007
  • Last updated: 08/26/2016

Primary Scrop of Practice

  • Taxonomy Code: 320900000X
  • Specialty: Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
  • License Number: 060-01-256-2
  • License State: GA

Provider Mailing Address

  • Address: 6229 Johnson Rd
    Riverdale, GA 30274
  • Phone: 770-996-6588
  • Fax: 770-997-8240

Provider Practice Location

  • Address: 2650 Colonial Dr
    College Park, GA 30337
  • Phone: 404-209-9296
  • Fax:

Authorized Official

  • Name: MR. Jackie Othella Smith JR.
  • Position/Title: Ceo
  • Telephone Number: 770-996-6588

Scope of Practice

  • Taxonomy Code: 320900000X
  • Specialty: Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
  • License Number: 060-01-256
  • License State: GA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 112615323A
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: GA
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for New Domus Personal Care, Llc?
  • A: The npi number for New Domus Personal Care, Llc is 1639377385.
  • Q: What are New Domus Personal Care, Llc's specialties?
  • A: New Domus Personal Care, Llc's specialties are Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities and different specialities.
  • Q: Where is New Domus Personal Care, Llc business practice location?
  • A: New Domus Personal Care, Llc business practice location is 2650 Colonial Dr, College Park, GA 30337.
  • Q: How to contact New Domus Personal Care, Llc?
  • A: You can contact New Domus Personal Care, Llc via 404-209-9296.
  • Q: What is the authorized official for New Domus Personal Care, Llc?
  • A: The authorized office name is MR. Jackie Othella Smith JR. with position/title is Ceo and you can reach the authorized official via phone number 7709966588.