Camellia Place of Woodstock, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALC000210 Issued in GA

Legal business name

CAMELLIA PLACE OF WOODSTOCK, LLC

Practice address

294 Rope Mill Rd
Woodstock, GA 30188-2612

Phone

(770) 296-1513

NPI assigned

Jun 30, 2016

Organization subpart

No

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

Authorized official

Name

Amanda Hohenbery

Title

Manager of Office Administration

Phone

(770) 296-1513

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1104277243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 ROPE MILL RD",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301882612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 ROPE MILL RD",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301882612",
            "telephone_number": "770-296-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMELLIA PLACE OF WOODSTOCK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "HOHENBERY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "MANAGER OF OFFICE ADMINISTRATION",
        "authorized_official_telephone_number": "770-296-1513"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": "ALC000210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Helen Cady, RN
• Chelsi Cagle
• Donald Caldwell, PT
• Kyle Winters Calhoun, CRNA
• Charles Phillip Callihan Sr., R.PH.
• Jose Miguel Canelon, DPT
• Robert Clayton Cannon, DMD
• Victoria Elizabeth Cannon, PA-C
• Canton Ear Nose and Throat Clinic, P.C.
• Kristen Marie Capovilla, WHNP-BC

• Assisted Living Facility in Woodstock, GA
• Providers in Woodstock, 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 Jun 30, 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.