PATRON PLACE LLC
NPI 1457623308
Assisted Living Facility in Stone Mountain, GA

Q: What is Patron Place LLC's NPI number?

The NPI number for Patron Place LLC is 1457623308. It was assigned to this organization in the NPPES registry on February 7, 2012.

Q: What is Patron Place LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Q: When was this NPI record last updated?

The NPPES record for Patron Place LLC was last updated on February 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 February 07, 2012

1227 ROCKBRIDGE RD STE 208-196, STONE MOUNTAIN, GA 30087(770) 573-1076(770) 234-5894 Get Directions Write a Review

NPPES record last updated: February 7, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Patron Place Llc NPPES

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

PATRON PLACE LLC (NPI 1457623308) is a healthcare organization registered as an assisted living facility in Stone Mountain, Georgia and active in the NPI registry since February 2012. The organization lists Rondine Gordon, Owner/administrator, as its authorized official.

NPPES Registry Identity

NPI1457623308

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NamePATRON PLACE LLC

Location Address1227 ROCKBRIDGE RD STE 208-196Stone Mountain, GA 30087-3064

Mailing Address1227 Rockbridge Rd Ste 208-196Stone Mountain, GA 30087-3064 · (770) 573-1076 · Fax (770) 234-5894

Phone(770) 573-1076

Fax(770) 234-5894

Organization SubpartNo

Authorized OfficialRondine GordonOwner/administrator · (770) 573-1076

Enumeration DateFebruary 7, 2012

✔ NPI 1457623308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in GA · PCH006520

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Also ListedCustodial Care FacilityTaxonomy 311Z00000X · License PCH006520 (GA)

Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X · License PCH006520 (GA)

1227 ROCKBRIDGE RD STE 208-196, Stone Mountain, GA 30087

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Other Providers at the Same Location NPPES

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

MEDI-CURE

Home Health

1227 ROCKBRIDGE RD STE 208-196
STONE MOUNTAIN, GA 30087

Dekalb County (770) 755-1394

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 Patron Place LLC's NPI number?

The NPI number for Patron Place LLC is 1457623308. It was assigned to this organization in the NPPES registry on February 7, 2012.

Where is Patron Place LLC located?

Patron Place LLC is located at 1227 Rockbridge Rd Ste 208-196, Stone Mountain, GA 30087. The listed phone number is (770) 573-1076.

What is Patron Place LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Patron Place LLC was last updated on February 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.