Provider Demographics
NPI:1053540260
Name:NUE BEGINNINGS RESIDENCE HOME INC
Entity type:Organization
Organization Name:NUE BEGINNINGS RESIDENCE HOME INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMBERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-401-4551
Mailing Address - Street 1:5183 SUGGS ST
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-3029
Mailing Address - Country:US
Mailing Address - Phone:770-485-4274
Mailing Address - Fax:770-485-9540
Practice Address - Street 1:5183 SUGGS ST
Practice Address - Street 2:
Practice Address - City:POWDER SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30127-3029
Practice Address - Country:US
Practice Address - Phone:770-485-4274
Practice Address - Fax:770-485-9540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-09
Last Update Date:2016-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA033-01-293-9315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities