Briarlake Community Home in Decatur - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Briarlake Community Home - NPI 1154486496
Briarlake Community Home is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Decatur, Georgia. Briarlake Community Home practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Briarlake Community Home is 1154486496. The last update date is 2009-08-18.
Briarlake Community Home's current location address is 1714 Briarlake Cir, Decatur, Georgia. You can contact this provider via phone number 4046335251 and fax number 4047281518. The mailing address for Briarlake Community Home is 1714 Briarlake Cir, Decatur, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Briarlake Community Home |
|---|---|
| Address | 1714 Briarlake Cir, Decatur, Georgia |
| Phone Number | 4046335251 |
| Fax Number | 4047281518 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Grizzle Tashua |
| Telephone Number | 4042124676 |
NPI Number Detail
| NPI Number | 1154486496 |
|---|---|
| Provider Enumeration Date | 2006-12-27 |
| Last Updated Date | 2009-08-18 |
Provider Mailing Address Detail
| Address | 1714 Briarlake Cir |
|---|---|
| City | Decatur |
| State | Georgia (GA) |
| Post Code | 300331110 |
| Phone Number | 4046335251 |
| Fax Number | 4047281518 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 44232 |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000954324J | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Briarlake Community Home by the Centers for Medicare & Medicaid Services?
The Briarlake Community Home has been assigned the NPI (National Provider Identifier) 1154486496 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Briarlake Community Home is located?
The Briarlake Community Home is situated at the following address: 1714 Briarlake Cir, Decatur, GA, 300331110.
What is Briarlake Community Home's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Briarlake Community Home's specialized field of practice is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 320900000X.
On what date was the 1154486496 assigned to Briarlake Community Home?
The Briarlake Community Home was issued its 1154486496 on 2006-12-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Briarlake Community Home most recently updated or revised?
The information pertaining to Briarlake Community Home, including its address, specialty, and other relevant details, was last updated or revised on 2009-08-18.