BELMONT VILLAGE
NPI 1073647582
Assisted Living Facility in Suwanee, GA

Active since March 15, 2007CLIA 11D1006558 · Waiver
4315 JOHNS CREEK PKWY, SUWANEE, GA 30024(770) 813-9505(770) 813-0380 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Belmont Village NPPES

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

BELMONT VILLAGE (NPI 1073647582) is a healthcare organization registered as an assisted living facility in Suwanee, Georgia and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through November 24, 2026 and lists Rob Rollans, Regional Vp-east, as its authorized official.

NPPES Registry Identity

NPI1073647582
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBELMONT VILLAGE
Location Address4315 JOHNS CREEK PKWYSuwanee, GA 30024-6048
Mailing Address4315 Johns Creek PkwySuwanee, GA 30024-6048 · (770) 813-9505 · Fax (770) 813-0380
Fax(770) 813-0380
Organization SubpartNo
Authorized OfficialRob RollansRegional Vp-east · (713) 463-1741
Enumeration DateMarch 15, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1073647582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

4315 JOHNS CREEK PKWY, Suwanee, GA 30024

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D1006558
Facility Type
Assisted Living Facility
Certificate Effective Date
November 25, 2024
Certificate Expiration Date
November 24, 2026
Laboratory Director
SHERI EASTON-GARRETT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Belmont Village to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Speech-Language Pathologist
4315 JOHNS CREEK PKWY
SUWANEE, GA 30024
Speech-Language Pathologist
4315 JOHNS CREEK PKWY
SUWANEE, GA 30024

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073647582, enumerated as an "organization" on March 15, 2007.

The provider is located at 4315 JOHNS CREEK PKWY SUWANEE, GA 30024 and the phone number is (770) 813-9505.

Assisted Living Facility with taxonomy code 310400000X.