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OrganizationActive

363l00000x

Nursing Facility/Intermediate Care Facility

ANETHA PETERSON
NPI: 1760856645Atlanta, Georgia, 30309(678) 464-9424

About 363l00000x

363l00000x is a healthcare organization providing Nursing Facility/Intermediate Care Facility services, registered under National Provider Identifier (NPI) number 1760856645. The authorized official for 363l00000x is ANETHA PETERSON.

The organization is headquartered at 2171 PEACHTREE RD NE, Atlanta, Georgia 30309. The main office can be reached at (678) 464-9424. 363l00000x has been NPI-registered since 2015.

Locations & Contact

Primary Location

Address
2171 PEACHTREE RD NE
City
Atlanta
State
Georgia
ZIP
30309-6300
Phone
(678) 464-9424
View on Google Maps

Authorized Official

Name
ANETHA PETERSON

Mailing Address

Address
2171 PEACHTREE RD NE
City
ATLANTA
State
GA
ZIP
303096300

NPI Registration

Enumeration Date
Last Updated
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty
Nursing Facility/Intermediate Care Facility
Classification
Nursing Facility/Intermediate Care Facility
Taxonomy Code
313M00000X

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is 363l00000x's NPI number?
363l00000x's National Provider Identifier (NPI) is 1760856645. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does 363l00000x specialize in?
363l00000x specializes in Nursing Facility/Intermediate Care Facility.
Where is 363l00000x located?
363l00000x practices at 2171 PEACHTREE RD NE, Atlanta, Georgia 30309. You can reach them by phone at (678) 464-9424.
Does 363l00000x accept Medicare?
Based on available data, 363l00000x is not currently enrolled in the Medicare program.
Does 363l00000x offer telehealth or virtual visits?
363l00000x does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. 363l00000x holds NPI 1760856645, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.