PANOLA CARE, CLA
NPI 1134564131
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Lithonia, GA

Q: What is Panola Care, Cla's NPI number?

The NPI number for Panola Care, Cla is 1134564131. It was assigned to this organization in the NPPES registry on May 3, 2013.

Q: What is Panola Care, Cla's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Q: When was this NPI record last updated?

The NPPES record for Panola Care, Cla was last updated on May 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since May 03, 2013

3169 PEQUEA DR, LITHONIA, GA 30038(770) 322-6810(770) 322-6810 Get Directions Write a Review

NPPES record last updated: May 3, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Panola Care, Cla NPPES

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

PANOLA CARE, CLA (NPI 1134564131) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Lithonia, Georgia and active in the NPI registry since May 2013. The organization lists Carol A Tavares, Director, as its authorized official.

NPPES Registry Identity

NPI1134564131

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NamePANOLA CARE, CLA

Location Address3169 PEQUEA DRLithonia, GA 30038-1119

Mailing Address3169 Pequea DrLithonia, GA 30038-1119 · (770) 322-6810

Phone(770) 322-6810

Fax(770) 322-6810

Organization SubpartNo

Authorized OfficialCarol A TavaresDirector · (770) 322-6810

Enumeration DateMay 3, 2013

✔ NPI 1134564131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Also ListedResidential Treatment Facility, Physical DisabilitiesTaxonomy 320700000X

3169 PEQUEA DR, Lithonia, GA 30038

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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 Panola Care, Cla's NPI number?

The NPI number for Panola Care, Cla is 1134564131. It was assigned to this organization in the NPPES registry on May 3, 2013.

Where is Panola Care, Cla located?

Panola Care, Cla is located at 3169 Pequea Dr, Lithonia, GA 30038. The listed phone number is (770) 322-6810.

What is Panola Care, Cla's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Panola Care, Cla was last updated on May 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.