Provider Demographics
NPI:1124802970
Name:KAYRAM ATLANTA LLC
Entity type:Organization
Organization Name:KAYRAM ATLANTA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RAMESH
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMCHANDRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-313-3034
Mailing Address - Street 1:575 LAUREL OAKS LN
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:GA
Mailing Address - Zip Code:30004-4507
Mailing Address - Country:US
Mailing Address - Phone:678-313-3034
Mailing Address - Fax:
Practice Address - Street 1:3959 FISH HATCHERY RD
Practice Address - Street 2:
Practice Address - City:GASTON
Practice Address - State:SC
Practice Address - Zip Code:29053-9038
Practice Address - Country:US
Practice Address - Phone:864-608-1820
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness