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WONDER YEARS PERSONAL CARE HOME
NPI 1235449893
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Conyers, GA

Active since October 18, 2010
3321 OLD SALEM RD SE, CONYERS, GA 30013(773) 354-5040 Get Directions Write a Review

NPPES record last updated: October 18, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wonder Years Personal Care Home NPPES

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

WONDER YEARS PERSONAL CARE HOME (NPI 1235449893) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Conyers, Georgia and active in the NPI registry since October 2010. The organization lists Angela B Tillman, Owner, as its authorized official.

NPPES Registry Identity

NPI1235449893
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameWONDER YEARS PERSONAL CARE HOME
Location Address3321 OLD SALEM RD SEConyers, GA 30013-2224
Mailing Address3321 Old Salem Rd SeConyers, GA 30013-2224 · (773) 354-5040
Phone(773) 354-5040
Organization SubpartNo
Authorized OfficialAngela B TillmanOwner · (773) 354-5040
Enumeration DateOctober 18, 2010
✔ NPI 1235449893 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
License✔ Licensed in GA · 124269217A
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
3321 OLD SALEM RD SE, Conyers, GA 30013
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Other Identifiers 1

Medicaid124269217AGA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WONDER YEARS PCH
Day Training, Developmentally Disabled Services
3321 OLD SALEM RD SE
CONYERS, GA 30013
Rockdale County (770) 860-1320

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 Wonder Years Personal Care Home's NPI number?

The NPI number for Wonder Years Personal Care Home is 1235449893. It was assigned to this organization in the NPPES registry on October 18, 2010.

Where is Wonder Years Personal Care Home located?

Wonder Years Personal Care Home is located at 3321 Old Salem Rd SE, Conyers, GA 30013. The listed phone number is (773) 354-5040.

What is Wonder Years Personal Care 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 Wonder Years Personal Care Home was last updated on October 18, 2010. 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.