OrganizationActive
Dekalb Community Service Board
NPI 1629113436 · Community/Behavioral Health Agency · Tucker, GA
Dekalb Community Service Board is a Community/Behavioral Health Agency organization in Tucker, GA (NPI 1629113436).
Provider details
- NPI number
- 1629113436
- 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
4559 Lavista Rd
Tucker, GA 30084-4225
Phone: (770) 270-8994
Fax: (770) 270-8994
Street-level locationGet directions
Mailing address
455 Winn Way Fl 4
Decatur, GA 30030-1707
Other names (DBA / former)
- Other name
- Tucker Group Home
Registry dates
- Enumerated
- 2007-02-20
- Last updated
- 2020-04-22
- Certified
- 2020-04-22
Frequently asked questions
- What is Dekalb Community Service Board's NPI number?
- Dekalb Community Service Board's National Provider Identifier (NPI) is 1629113436, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dekalb Community Service Board?
- Dekalb Community Service Board is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Dekalb Community Service Board located?
- Dekalb Community Service Board's practice location on file with NPPES is 4559 Lavista Rd, Tucker, GA 30084-4225.
- What is Dekalb Community Service Board's phone number?
- The practice phone number listed in the NPPES registry for Dekalb Community Service Board is (770) 270-8994.
- Who is the authorized official for Dekalb Community Service Board?
- The authorized official listed on Dekalb Community Service Board'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 Dekalb Community Service Board's NPI active?
- Yes — Dekalb Community Service Board's NPI (1629113436) is active in the NPPES registry as of the last update on 2020-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.