Amelia Gardens Inc

LBN: Amelia Gardens Inc
Amelia Gardens Inc is an health care organization with primary practice located at 576 Nickajack Rd Sw , Mableton GA 30126-1419. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Amelia Gardens Inc can be contacted via phone (770) 712-4903, or through Onaiwu, Isoken J via phone (770) 712-4903.

Contact Information

Primary practice address
576 Nickajack Rd Sw Mableton GA 30126-1419
Phone: (770) 712-4903
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Onaiwu, Isoken J
Phone: (770) 712-4903

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 033-02-028-1 Georgia

Profile Details

NPI number 1023550407
LBN Legal business name Amelia Gardens Inc
DBA Doing business as
Authorized official Onaiwu, Isoken J
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2016
Last updated Nov 16th, 2016 - about 8 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 1023550407 NPPES
Georgia MEDICAID 003168137A

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