=====================================================
General NPI Number Information
=====================================================
NPI Number | 1194100750
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BATES & ASSOCIATES, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/24/2015
-----------------------------------------------------
Last Update Date | 07/24/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5435 SUGARLOAF PKWY SUITE 2203
-----------------------------------------------------
City | LAWRENCEVILLE
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30043-7831
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 770-299-4800
-----------------------------------------------------
Fax | 770-299-4802
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5435 SUGARLOAF PKWY SUITE 2203
-----------------------------------------------------
City | LAWRENCEVILLE
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30043-7831
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 770-299-4800
-----------------------------------------------------
Fax | 770-299-4802
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | ALAN BATES
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 770-299-4800
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number | 067-R-1446
-----------------------------------------------------
License Number State | GA
-----------------------------------------------------