Dougherty County Community Coalition, Inc

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

DOUGHERTY COUNTY COMMUNITY COALITION, INC

Doing business as

Friendship Personal Care Home

Practice address

723 W Oglethorpe Blvd
Albany, GA 31701-2777

Phone

(229) 438-8517

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Portia S Johnson

Title

Administrator

Phone

(229) 438-8517

Specialties & licenses 1

Addresses

Other names 1

• Friendship Personal Care Home Doing business as

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154544856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 W OGLETHORPE BLVD",
            "address_2": "P O BOX 4803",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012777",
            "telephone_number": "229-438-8517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 W OGLETHORPE BLVD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012777",
            "telephone_number": "229-438-8517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGHERTY COUNTY COMMUNITY COALITION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PORTIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "229-438-8517",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friendship Personal Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rayon Dosethareh, AA-C
• Dougherty County Board of Health
• Dougherty County Board of Health
• Dougherty County Board of Health
• Dougherty County Commissioner of Roads & Revenues
• Dougherty County School System
• Dougherty Emergency Group, LLC
• Portia R. Douglas
• Amanda Dowdell
• Russell Warren Dowdy, PA-C

• Point of Service in Albany, GA
• Providers in Albany, GA by specialty
• Point of Service in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.