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ALLEGIANT SERVICE LLC
NPI 1316279557
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Decatur, GA

Active since February 12, 2010
4323 JUNEBERRY CT, DECATUR, GA 30034(678) 491-6215(770) 558-1580 Get Directions Write a Review

NPPES record last updated: February 12, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Allegiant Service Llc NPPES

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

ALLEGIANT SERVICE LLC (NPI 1316279557) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Decatur, Georgia and active in the NPI registry since February 2010. The organization lists Mary Ann Ferguson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1316279557
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameALLEGIANT SERVICE LLC
Location Address4323 JUNEBERRY CTDecatur, GA 30034-6425
Mailing Address4323 Juneberry CtDecatur, GA 30034-6425 · (770) 558-1580 · Fax (770) 558-1580
Phone(678) 491-6215
Fax(770) 558-1580
Organization SubpartNo
Authorized OfficialMary Ann FergusonAdministrator · (678) 491-6215
Enumeration DateFebruary 12, 2010
✔ NPI 1316279557 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 · 126168557A
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
4323 JUNEBERRY CT, Decatur, GA 30034
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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 Allegiant Service LLC's NPI number?

The NPI number for Allegiant Service LLC is 1316279557. It was assigned to this organization in the NPPES registry on February 12, 2010.

Where is Allegiant Service LLC located?

Allegiant Service LLC is located at 4323 Juneberry Ct, Decatur, GA 30034. The listed phone number is (678) 491-6215.

What is Allegiant Service LLC'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 Allegiant Service LLC was last updated on February 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.