Patron Place LLC
NPI 1457623308ActiveOrganization· Assisted Living Facility· Stone Mountain, GA
Assisted Living Facility in Stone Mountain, Georgia, registered in NPPES in February 2012. The authorized official on file is Rondine Gordon, Owner/Administrator.
Overview
| NPI | 1457623308 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 7, 2012 |
| Last updated in NPPES | Feb 7, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | PCH006520 | GA |
| Custodial Care Facility | 311Z00000X | PCH006520 | GA |
| Custodial Care Facility, Adult Care Home | 311ZA0620X | PCH006520 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other assisted living facilities in Stone Mountain
- 1366075848
- 1407657703
- 1558589168
- 1700462199
- 1790174944
- 1649162264