SAMO HOLDINGS INC NPI 1598055691

NPI Information

NPI: 1598055691
Provider Name: SAMO HOLDINGS, INC

Other Name: AMINA'S HOME

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
5530 SWANSON RD
ELLENWOOD, GA
ZIP 30294
Phone: (404) 729-2514
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SAMO HOLDINGS, INC is a community based residential treatment facility mental illness in Ellenwood, GA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. SAMO HOLDINGS, INC NPI is 1598055691. The provider is registered as an organization entity type.
The provider Other Name Is Amina's Home.

The provider's business location address is:

5530 SWANSON RD
ELLENWOOD, GA
ZIP 30294-857
Phone: (404) 729-2514
Fax: (678) 264-5461

The provider's authorized official is Moses Demba .
The authorized official title is Ceo and has the following contact phone number (404) 729-2514.

The enumeration date for this NPI number is 4/11/2011 and was last updated on 4/11/2011.

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	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		031013109	GEORGIA	No
2	320800000X	Community Based Residential Treatment Facility, Mental Illness		031013109	GEORGIA	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

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