HERE'S TO LIFE INC NPI 1235916578

NPI Information

NPI: 1235916578
Provider Name: HERE'S TO LIFE, INC
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

CLIA Number: 11D2118816

Address:
1115 RALPH DAVID ABERNATHY BLVD SW
ATLANTA, GA
ZIP 30310
Phone: (404) 500-3726
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HERE'S TO LIFE, INC is a community health clinic center in Atlanta, GA. HERE'S TO LIFE, INC NPI is 1235916578. The provider is registered as an organization entity type.

The provider's business location address is:

1115 RALPH DAVID ABERNATHY BLVD SW
ATLANTA, GA
ZIP 30310-729
Phone: (404) 500-3726

The provider's authorized official is Gregory Smith .
The authorized official title is Executive Director and has the following contact phone number (404) 707-0864.

The CLIA number assigned to this NPI record is 11D2118816 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/11/2023 and was last updated on 9/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251B00000X	Case Management		No
2	251S00000X	Community/Behavioral Health		No
3	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	No
4	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
5	261QC1500X	Clinic/Center	Community Health	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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