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:
Health care specialties
| Specialty | Code | License # | 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 12 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 | 1457783789 | NPPES |
| Georgia | MEDICAID | 921820039A | |
| Georgia | MEDICAID | 921820039D |
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