EN VIDA ADULT DAY CARE CENTER LLC – NPI #1194453274
Clinic/Center

EN VIDA ADULT DAY CARE CENTER LLC is an AHC clinic located in RIVERDALE, GA. NPPES has assigned the NPI number 1194453274 to EN VIDA ADULT DAY CARE CENTER LLC on August 08, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA0600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Day Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EN VIDA ADULT DAY CARE CENTER LLC below.

NPI Profile for
EN VIDA ADULT DAY CARE CENTER LLC

NPI Number
1194453274
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EN VIDA ADULT DAY CARE CENTER LLC
Primary location
150 MEDICAL WAY STE E
RIVERDALE, GA 30274-2533
Phone: (404) 956-9698 Fax:
Mailing address
949 CHURCH ST
DECATUR, GA 30030-1872
Phone: (404) 956-9698 Fax:
Organization Subpart
No
Authorized Official
KATARRA ASHLEY
OWNER
Phone: (404) 956-9698
Updated
Certification Date
Aug 08, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA0600X
- Clinic/Center / Adult Day Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.