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BREAD OF LIFE ASSISTED LIVING CORPORATION
NPI 1861740904
Assisted Living Facility - Assisted Living, Mental Illness in Atlanta, GA

Active since August 21, 2012
2001 MARTIN LUTHER KING JR DR SW, SUITE 450-A, ATLANTA, GA 30310(678) 732-8191(404) 564-6487 Get Directions Write a Review

NPPES record last updated: August 21, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bread Of Life Assisted Living Corporation NPPES

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

BREAD OF LIFE ASSISTED LIVING CORPORATION (NPI 1861740904) is a healthcare organization registered as an assisted living, mental illness in Atlanta, Georgia and active in the NPI registry since August 2012. The organization lists Christine Nwankwo, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1861740904
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameBREAD OF LIFE ASSISTED LIVING CORPORATION
Location Address2001 MARTIN LUTHER KING JR DR SW, SUITE 450-AAtlanta, GA 30310-1101
Mailing Address2001 Martin Luther King Jr Dr Sw, Suite 450-aAtlanta, GA 30310-1101 · (678) 732-8191 · Fax (404) 564-6487
Phone(678) 732-8191
Fax(404) 564-6487
Organization SubpartNo
Authorized OfficialChristine NwankwoExecutive Director · (678) 732-8191
Enumeration DateAugust 21, 2012
✔ NPI 1861740904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedNursing CareTaxonomy 251J00000X
Also ListedAssisted Living Facility · Assisted Living, Behavioral DisturbancesTaxonomy 3104A0630X
2001 MARTIN LUTHER KING JR DR SW, Atlanta, GA 30310
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Other Providers at the Same Location NPPES 20

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

DARREL GIOVONNI JONES DC
Chiropractor
2001 MARTIN LUTHER KING JR DR SW, STE 418
ATLANTA, GA 30310
Fulton County (404) 521-8459
BREAD OF LIFE HOME HEALTH SVCS, INC.
Community/Behavioral Health
2001 MARTIN LUTHER KING JR DR SW, SUITE 409
ATLANTA, GA 30310
Fulton County (404) 564-6486
T2S ENTERPRISES, LLC
Counselor (Professional)
2001 MARTIN LUTHER KING JR DR SW, SUITE 540
ATLANTA, GA 30310
Fulton County (404) 914-4782
BEATRICE C OBIEKWE RN
Registered Nurse
2001 MARTIN LUTHER KING JR DR SW, SUITE 409
ATLANTA, GA 30310
Fulton County (404) 564-6486
STACIE BETHEA MSW
Social Worker
2001 MARTIN LUTHER KING JR DR SW, SUITE 409
ATLANTA, GA 30310
Fulton County (404) 564-6486
INNOCENT IKE
Case Manager/Care Coordinator
2001 MARTIN LUTHER KING JR DR SW, SUITE
ATLANTA, GA 30310
Fulton County (404) 564-6486
JON DIGGS LPC
Counselor (Mental Health)
2001 MARTIN LUTHER KING JR DR SW, #540
ATLANTA, GA 30310
Fulton County (404) 914-4782
DR. KRISHNA CLANTON PHD, LPC, NCC
Counselor (Professional)
2001 MARTIN LUTHER KING JR DR SW, SUITE 540
ATLANTA, GA 30310
Fulton County (404) 914-4782

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 Bread Of Life Assisted Living Corporation's NPI number?

The NPI number for Bread Of Life Assisted Living Corporation is 1861740904. It was assigned to this organization in the NPPES registry on August 21, 2012.

Where is Bread Of Life Assisted Living Corporation located?

Bread Of Life Assisted Living Corporation is located at 2001 Martin Luther King Jr Dr SW Suite 450-A, Atlanta, GA 30310. The listed phone number is (678) 732-8191.

What is Bread Of Life Assisted Living Corporation's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Bread Of Life Assisted Living Corporation was last updated on August 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.