Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shallowford Group Home

Organization Community/Behavioral Health Agency · NPI 1306981113

Shallowford Group Home is a Community/Behavioral Health Agency in Atlanta, Georgia. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

2473 Shallowford Rd NE
Atlanta, GA 30345-1363
Phone: (404) 636-0955
Fax: (404) 636-0955
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1306981113
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDekalb Community Service Board
Authorized official Fabio Van Der Merwe — Coo · (404) 294-3836
Other names Shallowford Group Home
NPI enumeratedFebruary 20, 2007
Last updated in NPPESAugust 19, 2024
Certification dateAugust 19, 2024
Mailing address445 Winn Way Fl 4, Decatur, GA 30030-1707

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