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SOUTHERN CRESCENT PERSONAL CARE HOME
NPI 1639235047
Assisted Living Facility in Griffin, GA

Active since December 29, 2006
630 MERIWETHER ST, GRIFFIN, GA 30224(770) 233-8116(770) 233-8482 Get Directions Write a Review

NPPES record last updated: July 22, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southern Crescent Personal Care Home NPPES

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

SOUTHERN CRESCENT PERSONAL CARE HOME (NPI 1639235047) is a healthcare organization registered as an assisted living facility in Griffin, Georgia and active in the NPI registry since December 2006. The organization lists Stephanie Odom, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639235047
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSOUTHERN CRESCENT PERSONAL CARE HOME
Location Address630 MERIWETHER STGriffin, GA 30224-4139
Mailing Address125 Highway 138 SwRiverdale, GA 30274-4007 · (678) 610-4429 · Fax (678) 610-4478
Phone(770) 233-8116
Fax(770) 233-8482
Organization SubpartNo
Authorized OfficialStephanie OdomCeo · (770) 227-9222
Enumeration DateDecember 29, 2006
Last NPPES UpdateJuly 22, 2008
✔ NPI 1639235047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in GA · 031030131
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.
630 MERIWETHER ST, Griffin, GA 30224
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Other Identifiers 1

Medicaid040319876AGA

Other Providers at the Same Location NPPES

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

CHRISTIAN MINISTRIES VOLUNTEER ORGANIZATION
Assisted Living Facility
630 MERIWETHER ST
GRIFFIN, GA 30224
Spalding County (770) 233-8116

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 Southern Crescent Personal Care Home's NPI number?

The NPI number for Southern Crescent Personal Care Home is 1639235047. It was assigned to this organization in the NPPES registry on December 29, 2006.

Where is Southern Crescent Personal Care Home located?

Southern Crescent Personal Care Home is located at 630 Meriwether St, Griffin, GA 30224. The listed phone number is (770) 233-8116.

What is Southern Crescent Personal Care Home'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 Southern Crescent Personal Care Home was last updated on July 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.