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CHATITY M MALLARD RN
NPI 1639843055
Custodial Care Facility - Adult Care Home in Fort Valley, GA

Active since August 09, 2021
176 CHRISTOPHER CIR, FORT VALLEY, GA 31030(478) 501-3805 Get Directions Write a Review

NPPES record last updated: August 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Chatity M Mallard Rn NPPES

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

CHATITY M MALLARD RN (NPI 1639843055) is an individual adult care home provider in Fort Valley, Georgia and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1639843055
Entity TypeIndividualFemale
Primary Taxonomy311ZA0620X
Provider Legal NameCHATITY M MALLARDCredential: RN
Location Address176 CHRISTOPHER CIRFort Valley, GA 31030-8403
Mailing Address176 Christopher CirFort Valley, GA 31030-8403 · (478) 501-3805
Phone(478) 501-3805
Sole ProprietorYes
Enumeration DateAugust 9, 2021
NPPES CertifiedAugust 9, 2021
✔ NPI 1639843055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
176 CHRISTOPHER CIR, Fort Valley, GA 31030
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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 Chatity Mallard's NPI number?

The NPI number for Chatity Mallard is 1639843055. It was assigned to this individual provider in the NPPES registry on August 9, 2021.

Where is Chatity Mallard located?

Chatity Mallard practices at 176 Christopher Cir, Fort Valley, GA 31030. The listed phone number is (478) 501-3805.

What is Chatity Mallard's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Chatity Mallard was last updated on August 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.