New Domus Personal Care, Llc
LBN: New Domus Personal Care, Llc
New Domus Personal Care, Llc is an health care organization with primary practice located at 2650 Colonial Dr , College Park GA 30337-4923. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
New Domus Personal Care, Llc can be contacted via phone (404) 209-9296, or through Smith, Jackie Othella via phone (770) 996-6588.
Contact Information
Primary practice address
2650 Colonial Dr
College Park GA 30337-4923
Phone: (404) 209-9296
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | 060-01-256-2 | Georgia |
Profile Details
| NPI number | 1639377385 |
|---|---|
| LBN Legal business name | New Domus Personal Care, Llc |
| DBA Doing business as | |
| Authorized official | Smith, Jackie Othella |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 4th, 2007 |
| Last updated | Aug 26th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639377385 | NPPES |
| Georgia | MEDICAID | 112615323A |
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