Shirley Home Away From Home
NPI 1457684482 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Fayetteville, GA
Shirley Home Away From Home is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Fayetteville, GA (NPI 1457684482).
Provider details
- NPI number
- 1457684482
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Shirley Wilson, Administrator(678) 557-2207
- License
- 056-01-011-1 (GA)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 056-01-011-1 (GA)
Residential Treatment Facilities
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2009-09-09
- Last updated
- 2009-09-09
Frequently asked questions
- What is Shirley Home Away From Home's NPI number?
- Shirley Home Away From Home's National Provider Identifier (NPI) is 1457684482, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shirley Home Away From Home?
- Shirley Home Away From Home is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Shirley Home Away From Home located?
- Shirley Home Away From Home's practice location on file with NPPES is 190 Middling Ln, Fayetteville, GA 30214-3767.
- What is Shirley Home Away From Home's phone number?
- The practice phone number listed in the NPPES registry for Shirley Home Away From Home is (678) 557-2207.
- Who is the authorized official for Shirley Home Away From Home?
- The authorized official listed on Shirley Home Away From Home's NPPES record is Shirley Wilson, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shirley Home Away From Home's NPI active?
- Yes — Shirley Home Away From Home's NPI (1457684482) is active in the NPPES registry as of the last update on 2009-09-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.