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MASALON PERSONAL CARE HOME INC.
NPI 1306468228
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Stone Mountain, GA

Active since May 13, 2020
3952 ROCKBRIDGE RD, STONE MOUNTAIN, GA 30083(917) 826-4317 Get Directions Write a Review

NPPES record last updated: May 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Masalon Personal Care Home Inc. NPPES

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

MASALON PERSONAL CARE HOME INC. (NPI 1306468228) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Stone Mountain, Georgia and active in the NPI registry since May 2020. The organization lists Makesa Mamie Fofana, Owner, as its authorized official.

NPPES Registry Identity

NPI1306468228
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameMASALON PERSONAL CARE HOME INC.
Location Address3952 ROCKBRIDGE RDStone Mountain, GA 30083-4170
Mailing Address3952 Rockbridge RdStone Mountain, GA 30083-4170 · (917) 826-4317
Phone(917) 826-4317
Organization SubpartNo
Authorized OfficialMakesa Mamie FofanaOwner · (917) 826-4317
Enumeration DateMay 13, 2020
NPPES CertifiedMay 13, 2020
✔ NPI 1306468228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X
3952 ROCKBRIDGE RD, Stone Mountain, GA 30083
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

TOYEA LAING
Community Health Worker
3952 ROCKBRIDGE RD
STONE MOUNTAIN, GA 30083
Dekalb County (404) 499-8369

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 Masalon Personal Care Home Inc.'s NPI number?

The NPI number for Masalon Personal Care Home Inc. is 1306468228. It was assigned to this organization in the NPPES registry on May 13, 2020.

Where is Masalon Personal Care Home Inc. located?

Masalon Personal Care Home Inc. is located at 3952 Rockbridge Rd, Stone Mountain, GA 30083. The listed phone number is (917) 826-4317.

What is Masalon Personal Care Home Inc.'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 Masalon Personal Care Home Inc. was last updated on May 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.