PEACE PERSONAL CARE HOME – NPI #1437481116
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

PEACE PERSONAL CARE HOME is a community based residential treatment facility located in LITHONIA, GA. NPPES has assigned the NPI number 1437481116 to PEACE PERSONAL CARE HOME on February 05, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 14 years ago on Oct 25, 2012. 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 PEACE PERSONAL CARE HOME below.

NPI Profile for
PEACE PERSONAL CARE HOME

NPI Number
1437481116
Enumeration Date

(more than 16 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
PEACE PERSONAL CARE HOME
Primary location
1352 REGAL HEIGHTS DRIVE
LITHONIA, GA 30058
Phone: (770) 482-8215 Fax: (770) 482-8215
Mailing address
1352 REGAL HEIGHTS DR
LITHONIA, GA 30058-3009
Phone: (770) 482-8215 Fax: (770) 482-8215
Organization Subpart
No
Authorized Official
WILLIE SMITH
DIRECTOR/MANAGER
Phone: (770) 482-8215
Updated
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
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)		 GA 00157470
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities		 GA 00157470

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.