National Provider Identifier Database

NELLS PERSONAL CARE HOME LLC
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.


Contact Information

NELL'S PERSONAL CARE HOME, LLC
8990 STERLING RIDGE LN
JONESBORO, GA30238-4659
Phone: 770-471-2287
Fax: 770-471-6622
Website:
Specialty Taxonomy Code
* Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320600000X
Residential Treatment Facility, Physical Disabilities 320700000X

* Indicates primary specialty

NPI Profile & details for NELL'S PERSONAL CARE HOME, LLC

NPI Number 1538438809
Legal business name
LBN
NELL'S PERSONAL CARE HOME, LLC
Authorized official CLIFFORD JACKSON - (CEO)
Entity Organization
Organization subpart No
Enumeration date 12/15/2011
Last updated 12/15/2011 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 031012541

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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