OrganizationActive
Ultimate Living Services, Inc
NPI 1306077953 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Stone Mountain, GA
Provider details
- NPI number
- 1306077953
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Gerald Tillman, Owner/Driector(404) 401-1094
- License
- 044017282 (GA)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 044017282 (GA)
Residential Treatment Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
1516 Crooked Tree Cir
Stone Mountain, GA 30088-3723
Phone: (404) 401-1094
Street-level locationGet directions
Mailing address
1516 Crooked Tree Cir
Stone Mountain, GA 30088-3723
Registry dates
- Enumerated
- 2009-07-30
- Last updated
- 2009-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.