OrganizationActive
Ego Ideal, Inc.
NPI 1215592431 · Developmentally Disabled Services Day Training Agency · Decatur, GA
Provider details
- NPI number
- 1215592431
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Charles Miller, Cfo(678) 705-9527
Specialties & taxonomies
Agencies
- Point of Service305S00000X
Managed Care Organizations
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4484 Covington Hwy
Decatur, GA 30035-1203
Phone: (678) 705-9527
Street-level locationGet directions
Mailing address
3574 Columbia Pkwy
Decatur, GA 30034-3349
Registry dates
- Enumerated
- 2019-05-02
- Last updated
- 2019-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.