NPI 1790174944

Rising Star Personal Care Home LLC

Organisation Assisted Living Facility Stone Mountain, GA

Practice location

Address: 5018 E Ponce de Leon Ave, Stone Mountain, GA 30083-1236
Phone: (404) 298-0150
Fax: (678) 904-5628

Authorised official

Name: Terrie Lisa McGill
Title: Director of Operations
Phone: (678) 701-5115

Registered specialties (4)

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence PCH009075 (GA)

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Home Health Agency

Agencies Taxonomy 251E00000X

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Non-emergency Medical Transport (VAN)

Transportation Services Taxonomy 343900000X

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Home Health Aide

Nursing Service Related Providers Taxonomy 374U00000X

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Registry record

NPI: 1790174944
Entity type: Organization
NPI issued: 12 Jan 2015
Record last updated: 30 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.