Provider Demographics
NPI:1689202681
Name:PT HILLS PLACE TERRACES LLC
Entity Type:Organization
Organization Name:PT HILLS PLACE TERRACES LLC
Other - Org Name:THE TERRACES AT PEACHTREE HILLS PLACE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:W
Authorized Official - Last Name:ISAKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-941-1329
Mailing Address - Street 1:229 PEACHTREE HILLS AVE NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-4411
Mailing Address - Country:US
Mailing Address - Phone:678-619-5600
Mailing Address - Fax:678-619-3211
Practice Address - Street 1:229 PEACHTREE HILLS AVE NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-4411
Practice Address - Country:US
Practice Address - Phone:678-619-5600
Practice Address - Fax:678-619-3211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-27
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances