CHILDRENS HEALTHCARE OF ATLANTA NPI 1396900247

NPI Information

NPI: 1396900247
Provider Name: CHILDRENS HEALTHCARE OF ATLANTA
Classification: Skilled Nursing Facility - 3140N1450X
Entity Type: Organization

Specialization: Nursing Care, Pediatric

Address:
494 RISING SUN PATH
LAWRENCEVILLE, GA
ZIP 30043
Phone: (770) 338-7476
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CHILDRENS HEALTHCARE OF ATLANTA is a nursing care and pediatric skilled nursing facility in Lawrenceville, GA. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. CHILDRENS HEALTHCARE OF ATLANTA NPI is 1396900247. The provider is registered as an organization entity type.

The provider's business location address is:

494 RISING SUN PATH
LAWRENCEVILLE, GA
ZIP 30043-169
Phone: (770) 338-7476
Fax: (770) 338-7476

The provider's authorized official is Dawn Taylor .
The authorized official title is Assistant Manager and has the following contact phone number (404) 785-1882.

The enumeration date for this NPI number is 7/21/2008 and was last updated on 7/21/2008.

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	License Number	License State	Primary
1	3140N1450X	Skilled Nursing Facility	Nursing Care, Pediatric	RN158875	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	XKH511A63954-01	OTHER	GEORGIA	BLUE CROSS/ BLUE SHIELD

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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