Organization Active NPI

The Arc of Macon

  • In Home Supportive Care Agency
  • Macon, GA
National Provider Identifier
1013269992
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
011-R-0040 Issued in GA
Legal business name
THE ARC OF MACON
Practice address
4664 Sheraton Dr
Macon, GA 31210-1322
Phone
(478) 477-7764
Fax
(478) 477-8824
NPI assigned
Oct 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Authorized official

Name
Mr. Kenneth Andrew Harrell, LCSW
Title
Chief Administrative Officer
Phone
(478) 477-7764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 011-R-0040 GA Primary

Addresses

Primary practice location

4664 Sheraton Dr
Macon, GA 31210-1322

Mailing address

4664 Sheraton Dr
Macon, GA 31210-1322
Phone (478) 477-7764

National Provider Directory

National Provider Directory
Tax ID family
Advocacy Resource Center Inc - Macon2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4664 Sheraton Dr
Macon, GA 31210
Phone (478) 477-7764

NPI Registry JSON

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1013269992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4664 SHERATON DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101322",
            "telephone_number": "478-477-7764",
            "fax_number": "478-477-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4664 SHERATON DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101322",
            "telephone_number": "478-477-7764",
            "fax_number": "478-477-8824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC OF MACON",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-03",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "478-477-7764",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "011-R-0040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.