BELMONT VILLAGE NPI 1073647582

NPI Information

  • NPI: 1073647582
  • Provider Name: BELMONT VILLAGE
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 11D1006558
  • Address: 4315 JOHNS CREEK PKWY
    SUWANEE, GA
    ZIP 30024
  • Phone: (770) 813-9505

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NPI Details

BELMONT VILLAGE is an assisted living facility in Suwanee, GA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. BELMONT VILLAGE NPI is 1073647582. The provider is registered as an organization entity type.

The provider's business location address is:

4315 JOHNS CREEK PKWY
SUWANEE, GA
ZIP 30024-048
Phone: (770) 813-9505
Fax: (770) 813-0380

The provider's authorized official is Rob Rollans .
The authorized official title is Regional Vp-east and has the following contact phone number (713) 463-1741.

The CLIA number assigned to this NPI record is 11D1006558 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 8/22/2020.

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
1310400000XAssisted Living FacilityGEORGIAYes

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: 11/21/2025

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