BIG MAMA HOUSE
NPI 1659752491
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Stone Mountain, GA

Q: What is Big Mama House's NPI number?

The NPI number for Big Mama House is 1659752491. It was assigned to this organization in the NPPES registry on June 17, 2015.

Q: What is Big Mama House's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Q: When was this NPI record last updated?

The NPPES record for Big Mama House was last updated on June 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 June 17, 2015

707 PENNYBROOK LN, STONE MOUNTAIN, GA 30087(404) 538-6074 Get Directions Write a Review

NPPES record last updated: June 17, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Big Mama House NPPES

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

BIG MAMA HOUSE (NPI 1659752491) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Stone Mountain, Georgia and active in the NPI registry since June 2015. The organization lists Hanniyah Abdul Aziz, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1659752491

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameBIG MAMA HOUSE

Location Address707 PENNYBROOK LNStone Mountain, GA 30087-5918

Mailing Address707 Pennybrook LnStone Mountain, GA 30087-5918 · (404) 538-6074

Phone(404) 538-6074

Organization SubpartNo

Authorized OfficialHanniyah Abdul AzizCeo/owner · (404) 538-6074

Enumeration DateJune 17, 2015

✔ NPI 1659752491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

707 PENNYBROOK LN, Stone Mountain, GA 30087

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Big Mama House's NPI number?

The NPI number for Big Mama House is 1659752491. It was assigned to this organization in the NPPES registry on June 17, 2015.

Where is Big Mama House located?

Big Mama House is located at 707 Pennybrook Ln, Stone Mountain, GA 30087. The listed phone number is (404) 538-6074.

What is Big Mama House'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 Big Mama House was last updated on June 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.