SHIRLEY HOME AWAY FROM HOME
NPI 1023341062
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Riverdale, GA

Q: What is Shirley Home Away From Home's NPI number?

The NPI number for Shirley Home Away From Home is 1023341062. It was assigned to this organization in the NPPES registry on September 9, 2009.

Q: What is Shirley Home Away From Home's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Active since September 09, 2009

8412 RED CEDAR WAY, RIVERDALE, GA 30274(678) 557-2207 Get Directions Write a Review

NPPES record last updated: September 9, 2009. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Shirley Home Away From Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHIRLEY HOME AWAY FROM HOME (NPI 1023341062) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Riverdale, Georgia and active in the NPI registry since September 2009. The organization lists Shirley Wilson, Administor, as its authorized official.

NPPES Registry Identity

NPI1023341062

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameSHIRLEY HOME AWAY FROM HOME

Location Address8412 RED CEDAR WAYRiverdale, GA 30274-4562

Mailing Address8412 Red Cedar WayRiverdale, GA 30274-4562

Phone(678) 557-2207

Organization SubpartNo

Authorized OfficialShirley WilsonAdministor · (678) 557-2207

Enumeration DateSeptember 9, 2009

✔ NPI 1023341062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

8412 RED CEDAR WAY, Riverdale, GA 30274

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Other Identifiers 1

Medicaid155482054AGA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shirley Home Away From Home's NPI number?

The NPI number for Shirley Home Away From Home is 1023341062. It was assigned to this organization in the NPPES registry on September 9, 2009.

Where is Shirley Home Away From Home located?

Shirley Home Away From Home is located at 8412 Red Cedar Way, Riverdale, GA 30274. The listed phone number is (678) 557-2207.

What is Shirley Home Away From Home's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Shirley Home Away From Home was last updated on September 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.