Healthcare Provider Details

I. General information

NPI: 1053540260
Provider Name (Legal Business Name): NUE BEGINNINGS RESIDENCE HOME INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2009
Last Update Date: 01/23/2026
Certification Date: 01/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 DARBYS CROSSING DR STE 102
HIRAM GA
30141-6008
US

IV. Provider business mailing address

44 DARBYS CROSSING DR STE 102
HIRAM GA
30141-6008
US

V. Phone/Fax

Practice location:
  • Phone: 770-485-4274
  • Fax: 770-485-9540
Mailing address:
  • Phone: 770-485-4274
  • Fax: 770-485-9540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number033-01-293-9
License Number StateGA

VIII. Authorized Official

Name: SANDRA CHAMBERS
Title or Position: ADMINISTRATOR
Credential:
Phone: 678-598-5078