AMINA'S HOME
NPI 1598055691
Community Based Residential Treatment Facility, Mental Illness in Ellenwood, GA

NPI Status: Active since April 11, 2011

Contact Information

5530 SWANSON RD
ELLENWOOD, GA
ZIP 30294
Phone: (404) 729-2514
Fax: (678) 264-5461

Get Directions Reviews

  • Organization
  • Community Based Residential Treatment Fa...

About AMINA'S HOME

This page provides the complete NPI Profile along with additional information for Amina's Home, a provider established in Ellenwood, Georgia operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1598055691 assigned on April 2011. The practitioner's primary taxonomy code is 320800000X with license number 031013109 (GA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's other name is Amina's Home. The authorized official of this NPI record is Moses Demba (Ceo)

NPI
1598055691
Provider Legal Name
SAMO HOLDINGS, INC
Other Organization Name
AMINA'S HOME
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
5530 SWANSON RD ELLENWOOD, GA 30294
Location Phone
(404) 729-2514
Location Fax
(678) 264-5461
Mailing Address
2467 CHAUNCEY LN SW MARIETTA, GA 30064
Mailing Phone
(404) 729-2514
Mailing Fax
(678) 264-5461
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-11-2011
Last Update Date
04-11-2011
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
License No.
031013109
License State
GA
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1320900000XResidential Treatment Facilities

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

031013109 (GA)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MOSES DEMBA

Authorized Official Title
CEO
Authorized Official Phone
(404) 729-2514

Reviews for AMINA'S HOME

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1598055691
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251880510618
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 8 + 8 + 0 + 5 + 1 + 0 + 6 + 1 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1598055691 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942561717HEAVENLY ANGELS HOME OF CARE PCH, LLC
Organization
Residential Treatment Facility, Intellectual and/or Developmental Disabilities5530 SWANSON RD
ELLENWOOD, GA 30294
(404) 361-8485

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598055691, enumerated in the NPI registry as an "organization" on April 11, 2011

The provider is located at 5530 Swanson Rd Ellenwood, Ga 30294 and the phone number is (404) 729-2514

This medical organization specializes in Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X

This NPI record was last updated on April 11, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.