Petlin Diversified Services LLC
NPI 1801056791 · Skilled Nursing Facility · Powder Springs, GA
Petlin Diversified Services LLC is a Skilled Nursing Facility organization in Powder Springs, GA (NPI 1801056791).
Provider details
- NPI number
- 1801056791
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Linda Mbah, Ceo(770) 595-8934
- License
- RN155427NP (GA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
- 2008-06-13
- Last updated
- 2008-06-13
Frequently asked questions
- What is Petlin Diversified Services LLC's NPI number?
- Petlin Diversified Services LLC's National Provider Identifier (NPI) is 1801056791, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Petlin Diversified Services LLC?
- Petlin Diversified Services LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Petlin Diversified Services LLC located?
- Petlin Diversified Services LLC's practice location on file with NPPES is 2817 Lost Lakes Way, Powder Springs, GA 30127-6018.
- What is Petlin Diversified Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Petlin Diversified Services LLC is (770) 595-8934.
- Who is the authorized official for Petlin Diversified Services LLC?
- The authorized official listed on Petlin Diversified Services LLC's NPPES record is Linda Mbah, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Petlin Diversified Services LLC's NPI active?
- Yes — Petlin Diversified Services LLC's NPI (1801056791) is active in the NPPES registry as of the last update on 2008-06-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.