Briarlake Community Home
LBN: Briarlake Community Home
Briarlake Community Home is an health care organization with primary practice located at 1714 Briarlake Cir , Decatur GA 30033-1110. 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.
Briarlake Community Home can be contacted via phone (404) 633-5251, or through Grizzle, Tashua via phone (404) 212-4676.
Contact Information
Primary practice address
1714 Briarlake Cir
Decatur GA 30033-1110
Phone: (404) 633-5251
Fax: (404) 728-1518
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | 044232 | Georgia |
Profile Details
| NPI number | 1154486496 |
|---|---|
| LBN Legal business name | Briarlake Community Home |
| DBA Doing business as | |
| Authorized official | Grizzle, Tashua |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 27th, 2006 |
| Last updated | Aug 18th, 2009 - about 15 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 | 1154486496 | NPPES |
| Georgia | MEDICAID | 000954324J |
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