NPIMap

Organization Active NPI

Isabella Manor, Inc

  • Assisted Living Facility
  • Albany, GA
National Provider Identifier
1063955052
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
PCH008441 Issued in GA
Legal business name
ISABELLA MANOR, INC
Practice address
409 N Monroe St
Albany, GA 31701-2252
Phone
(229) 496-1213
Fax
(229) 496-1312
NPI assigned
Nov 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2016

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

Authorized official

Name
Mrs. Lavonne W Pollard
Title
Director/Manager
Phone
(229) 496-1213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X PCH008441 GA Primary

Addresses

Primary practice location

409 N Monroe St
Albany, GA 31701-2252

Mailing address

PO Box 3921
Albany, GA 31706-3921
Phone (229) 347-9008

National Provider Directory

National Provider Directory
Tax ID family
Isabella Manor Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479859200000",
    "number": "1063955052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3921",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317063921",
            "telephone_number": "229-347-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 N MONROE ST",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012252",
            "telephone_number": "229-496-1213",
            "fax_number": "229-496-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISABELLA MANOR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-23",
        "last_updated": "2016-11-23",
        "status": "A",
        "authorized_official_last_name": "POLLARD",
        "authorized_official_first_name": "LAVONNE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DIRECTOR/MANAGER",
        "authorized_official_telephone_number": "229-496-1213",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": "PCH008441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.