Provider Demographics
NPI:1346654605
Name:SOMEONE CARES, INC. OF ATLANTA
Entity Type:Organization
Organization Name:SOMEONE CARES, INC. OF ATLANTA
Other - Org Name:NA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RONNIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:BASS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BBA
Authorized Official - Phone:678-234-2445
Mailing Address - Street 1:1950 SPECTRUM CIR SE STE 145
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-8470
Mailing Address - Country:US
Mailing Address - Phone:678-921-2707
Mailing Address - Fax:345-388-8649
Practice Address - Street 1:1950 SPECTRUM CIR SE STE 145
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-8470
Practice Address - Country:US
Practice Address - Phone:678-921-2707
Practice Address - Fax:345-388-8649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-16
Last Update Date:2014-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAGA0117251S00000X, 282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA11D1094206OtherCLIA
GA133767OtherBUSINESS OCCUPATION COBB COUNTY