At Ease Personal Care Home, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

AT EASE PERSONAL CARE HOME, INC.

Practice address

2548 Central Ave
Augusta, GA 30904-6240

Phone

(704) 770-6392

Fax

(706) 723-1009

NPI assigned

Feb 15, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Michael Middleton

Title

Administrator

Phone

(704) 770-6392

Specialties & licenses 1

Addresses

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613347200000",
    "number": "1003409616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2548 CENTRAL AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046240",
            "telephone_number": "704-770-6392",
            "fax_number": "706-723-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2548 CENTRAL AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046240",
            "telephone_number": "704-770-6392",
            "fax_number": "706-723-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT EASE PERSONAL CARE HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-770-6392",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@ateasepch.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2548 Central Ave",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309046240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Assisted Living Facility in Augusta, GA
• Providers in Augusta, GA by specialty
• Assisted Living Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.