Bryana Personal Care Home, Inc.

LBN: Bryana Personal Care Home, Inc.
Bryana Personal Care Home, Inc. is an health care organization with primary practice located at 6276 Field Glen Rd , Stone Mountain GA 30087-4911. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Bryana Personal Care Home, Inc. can be contacted via phone (678) 587-5543, or through Charles, Diane via phone (404) 454-7155.

Contact Information

Primary practice address
6276 Field Glen Rd Stone Mountain GA 30087-4911
Phone: (678) 587-5543
Fax: (678) 587-5543
Website:
Map and Directions
Authorized official contact:
Name: Charles, Diane
Phone: (404) 454-7155

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 044-01-357-2 Georgia

Profile Details

NPI number 1457783789
LBN Legal business name Bryana Personal Care Home, Inc.
DBA Doing business as
Authorized official Charles, Diane
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2013
Last updated Aug 9th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457783789 NPPES
Georgia MEDICAID 921820039A
Georgia MEDICAID 921820039D

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