OrganizationActive
Shallowford Group Home
NPI 1306981113 · Community/Behavioral Health Agency · Atlanta, GA
Shallowford Group Home is a Community/Behavioral Health Agency organization in Atlanta, GA (NPI 1306981113).
Provider details
- NPI number
- 1306981113
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Parent organization
- Dekalb Community Service Board
- Organization subpart
- Yes
- Authorized official
- Fabio Van Der Merwe, Coo(404) 294-3836
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2473 Shallowford Rd Ne
Atlanta, GA 30345-1363
Phone: (404) 636-0955
Fax: (404) 636-0955
Street-level locationGet directions
Mailing address
445 Winn Way Fl 4
Decatur, GA 30030-1707
Other names (DBA / former)
- Other name
- Shallowford Group Home
Registry dates
- Enumerated
- 2007-02-20
- Last updated
- 2024-08-19
- Certified
- 2024-08-19
Frequently asked questions
- What is Shallowford Group Home's NPI number?
- Shallowford Group Home's National Provider Identifier (NPI) is 1306981113, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shallowford Group Home?
- Shallowford Group Home is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Shallowford Group Home located?
- Shallowford Group Home's practice location on file with NPPES is 2473 Shallowford Rd Ne, Atlanta, GA 30345-1363.
- What is Shallowford Group Home's phone number?
- The practice phone number listed in the NPPES registry for Shallowford Group Home is (404) 636-0955.
- Who is the authorized official for Shallowford Group Home?
- The authorized official listed on Shallowford Group Home's NPPES record is Fabio Van Der Merwe, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shallowford Group Home's NPI active?
- Yes — Shallowford Group Home's NPI (1306981113) is active in the NPPES registry as of the last update on 2024-08-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.