Healthcare Provider Details

I. General information

NPI: 1346654605
Provider Name (Legal Business Name): SOMEONE CARES, INC. OF ATLANTA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2014
Last Update Date: 06/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1950 SPECTRUM CIR SE STE 145
MARIETTA GA
30067-8470
US

IV. Provider business mailing address

1950 SPECTRUM CIR SE STE 145
MARIETTA GA
30067-8470
US

V. Phone/Fax

Practice location:
  • Phone: 678-921-2707
  • Fax: 345-388-8649
Mailing address:
  • Phone: 678-921-2707
  • Fax: 345-388-8649

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberGA0117
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License NumberGA0117
License Number StateGA

VIII. Authorized Official

Name: RONNIE E BASS
Title or Position: EXECUTIVE DIRECTOR
Credential: MS, BBA
Phone: 678-234-2445