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BETH'EL PERSONAL CARE HOME
NPI 1104118108
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Loganville, GA

Active since May 09, 2011
4327 WEBB MEADOWS DR, LOGANVILLE, GA 30052(770) 736-6439(678) 609-5540 Get Directions Write a Review

NPPES record last updated: May 9, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beth'el Personal Care Home NPPES

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

BETH'EL PERSONAL CARE HOME (NPI 1104118108) is a healthcare organization registered as an assisted living, behavioral disturbances in Loganville, Georgia and active in the NPI registry since May 2011. The organization lists Abosede Adetutu Oshinubi, Director, as its authorized official.

NPPES Registry Identity

NPI1104118108
Entity TypeOrganization
Primary Taxonomy3104A0630X
Legal Business NameBETH'EL PERSONAL CARE HOME
Location Address4327 WEBB MEADOWS DRLoganville, GA 30052-7579
Mailing Address4327 Webb Meadows DrLoganville, GA 30052-7579 · (770) 736-6439 · Fax (678) 609-5540
Phone(770) 736-6439
Fax(678) 609-5540
Organization SubpartNo
Authorized OfficialAbosede Adetutu OshinubiDirector · (770) 736-6439
Enumeration DateMay 9, 2011
✔ NPI 1104118108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Behavioral DisturbancesNursing & Custodial Care Facilities
Taxonomy Code3104A0630X
License✔ Licensed in GA · 756428113A
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.
4327 WEBB MEADOWS DR, Loganville, GA 30052
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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 Beth'el Personal Care Home's NPI number?

The NPI number for Beth'el Personal Care Home is 1104118108. It was assigned to this organization in the NPPES registry on May 9, 2011.

Where is Beth'el Personal Care Home located?

Beth'el Personal Care Home is located at 4327 Webb Meadows Dr, Loganville, GA 30052. The listed phone number is (770) 736-6439.

What is Beth'el Personal Care Home's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

When was this NPI record last updated?

The NPPES record for Beth'el Personal Care Home was last updated on May 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.