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Export Provider Record NPI 1275159386
Stilesboro Personal Care Home Llc
Organization Subpart: NO
Active
NPI Number1275159386
NPI TypeNPI-2 Organization
SpecialtyAssisted Living Facility
Provider Details
NPI1275159386
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2020-06-24
Last Updated2020-06-24
Authorized OfficialGarfield Mccook
Owner
Phone: 6787786335
Mailing Address4549 Stilesboro Rd Nw
Kennesaw, GA 30152-3945
United States
Phone: (678) 290-0085 | Fax: (888) 540-0201
📍 View Map
Primary Practice Address4549 Stilesboro Rd Nw
Kennesaw, GA 30152-3945
United States
Phone: (678) 290-0085 | Fax: (888) 540-0201
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No251E00000X – Home Health--
No253Z00000X – In Home Supportive Care--
Yes310400000X – Assisted Living Facility--
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About NPI 1275159386

Stilesboro Personal Care Home Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1275159386. The primary specialty listed is Assisted Living Facility. The organization is located in Kennesaw, GA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2020-06-24. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1275159386?

NPI 1275159386 belongs to Stilesboro Personal Care Home Llc, a Assisted Living Facility in Kennesaw, GA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1275159386 active?

The current status of NPI 1275159386 in the NPPES registry is Active. The record was last updated on 2020-06-24.

What specialty is NPI 1275159386?

NPI 1275159386 is classified under the taxonomy Assisted Living Facility. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1275159386?

You can verify NPI 1275159386 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1275159386?

The primary practice address on file for NPI 1275159386 is 4549 Stilesboro Rd Nw, Kennesaw, GA 30152-3945. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1275159386 issued?

NPI 1275159386 was first issued (enumerated) on 2020-06-24. The NPPES record was last updated on 2020-06-24.

Practice Location Map

Stilesboro Personal Care Home Llc is located at 4549 Stilesboro Rd Nw, Kennesaw, GA. Use the map below to find directions or verify the practice location.

📍 4549 Stilesboro Rd Nw, Kennesaw, GA 30152-3945  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Stilesboro Personal Care Home Llc. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-07-30 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162