SHALLOWFORD GROUP HOME
NPI 1306981113
Community/Behavioral Health in Atlanta, GA

Q: What is Shallowford Group Home's NPI number?

The NPI number for Shallowford Group Home is 1306981113. It was assigned to this organization in the NPPES registry on February 20, 2007.

Q: What is Shallowford Group Home's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since February 20, 2007

2473 SHALLOWFORD RD NE, ATLANTA, GA 30345(404) 636-0955(404) 636-0955 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 19, 2024, Apr 22, 2020 (2 updates tracked since 2020).

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About Shallowford Group Home NPPES

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

SHALLOWFORD GROUP HOME (NPI 1306981113) is a healthcare organization registered as a community/behavioral health in Atlanta, Georgia and active in the NPI registry since February 2007. The organization lists Fabio Bruno Van Der Merwe, Coo, as its authorized official.

NPPES Registry Identity

NPI1306981113

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameSHALLOWFORD GROUP HOME

Location Address2473 SHALLOWFORD RD NEAtlanta, GA 30345-1363

Mailing Address445 Winn Way Fl 4Decatur, GA 30030-1707 · (404) 508-7796

Phone(404) 636-0955

Fax(404) 636-0955

Organization SubpartYesParent: Dekalb Community Service Board

Authorized OfficialFabio Bruno Van Der MerweCoo · (404) 294-3836

Enumeration DateFebruary 20, 2007

Last NPPES UpdateAugust 19, 20242 updates tracked since enumeration

NPPES CertifiedAugust 19, 2024

✔ NPI 1306981113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

2473 SHALLOWFORD RD NE, Atlanta, GA 30345

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Other Names 1

Other NameShallowford Group Home

Other Providers at the Same Location NPPES

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

SYDNEY CLARK

Registered Nurse (Psychiatric/Mental Health)

2473 SHALLOWFORD RD NE
ATLANTA, GA 30345

Dekalb County (404) 636-0955

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 Shallowford Group Home's NPI number?

The NPI number for Shallowford Group Home is 1306981113. It was assigned to this organization in the NPPES registry on February 20, 2007.

Where is Shallowford Group Home located?

Shallowford Group Home is located at 2473 Shallowford Rd NE, Atlanta, GA 30345. The listed phone number is (404) 636-0955.

What is Shallowford Group Home's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Shallowford Group Home was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.