Living Spring Adult Day Care & Support Services LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

16112118 Issued in GA

Legal business name

LIVING SPRING ADULT DAY CARE & SUPPORT SERVICES LLC

Practice address

1044 Field View Dr
McDonough, GA 30253-9021

Phone

(862) 224-0967

NPI assigned

Dec 22, 2016

Last updated

Dec 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James BrignolleNPI 1881081313

Title

MGR.

Phone

(862) 224-0967

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Brignolle

  • Non-emergency Medical Transport (VAN)
  • McDonough, GA
  • NPI 1881081313
  NPD (past) Authorized official

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1033654322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 FIELD VIEW DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302539021",
            "telephone_number": "862-224-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 FIELD VIEW DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302539021",
            "telephone_number": "862-224-0967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING SPRING ADULT DAY CARE & SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-22",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "BRIGNOLLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MGR.",
        "authorized_official_telephone_number": "862-224-0967"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "GA",
            "license": "16112118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in McDonough, GA
• Providers in McDonough, GA by specialty
• Adult Day Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.