Perdum Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PERDUM ASSISTED LIVING

Practice address

5100 King Arthur LN
Ellenwood, GA 30294-6544

Phone

(404) 219-3592

NPI assigned

Oct 7, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Cynthia Perdum

Title

Director

Phone

(404) 219-3592

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1124353263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 KING ARTHUR LN",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302946544",
            "telephone_number": "404-219-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 KING ARTHUR LN",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302946544",
            "telephone_number": "404-219-3592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERDUM ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "PERDUM",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-219-3592",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lillian Grace Parker, APRN
• Ami Patel, DDS
• Peaceful Activities, Inc.
• Larry Lenard Pearson Sr.
• Pennie'S R US Corporation
• Melissa J Perrin-Hernandez, M.D.
• Kirsten D Person-Ramey, LPC
• Faneshia Peterson, FNP
• Evelyn Phams, CNA
• Aliyah Pickering

• Assisted Living Facility in Ellenwood, GA
• Providers in Ellenwood, 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 Oct 7, 2009; 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.