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1083592406 NPI number — BELLAMERE MANORS LLC

NPI Number: 1083592406
Health Care Provider/Practitioner: BELLAMERE MANORS LLC

Information about “1083592406” NPI (BELLAMERE MANORS LLC) exists in 1083592406 in HTML format HTML  |  1083592406 in plain Text format TXT  |  1083592406 in PDF (Portable Document Format) PDF  |  1083592406 in an XML format XML  formats.

NPI Number : 1083592406 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1083592406",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BELLAMERE MANORS LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 1223",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GRAYSON",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30017-0024",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "678-481-5804",
    "MailingAddressFaxNumber": "678-550-9233",
    "FirstLinePracticeLocationAddress": "8647 FOREST POINTE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JONESBORO",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30238-4362",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "770-240-7474",
    "PracticeLocationAddressFaxNumber": "678-550-9322",
    "EnumerationDate": "08/25/2025",
    "LastUpdateDate": "08/26/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "COLE",
    "AuthorizedOfficialFirstName": "MARY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LPC",
    "AuthorizedOfficialTelephoneNumber": "678-481-5804",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251E00000X",
        "TaxonomyName": "Home Health Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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