Organization Active NPI

Ubuntu Reloaded Coffee and Conversation

  • Community/Behavioral Health Agency
  • Soperton, GA
National Provider Identifier
1154974798
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
UBUNTU RELOADED COFFEE AND CONVERSATION
Practice address
1009 Second St Ste a
Soperton, GA 30457-2443
Phone
(478) 290-8453
NPI assigned
Jul 23, 2019
Last updated
Jul 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Authorized official

Name
Jennifer Baker
Title
Ceo
Phone
(478) 290-8453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1009 Second St Ste a
Soperton, GA 30457-2443

Mailing address

PO Box 211
Soperton, GA 30457-0211

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jenniferbaker@ubuntureloaded.com

National Provider Directory

National Provider Directory

Locations

1009 Second St
Ste A
Soperton, GA 30457
Phone (478) 290-8453

Interoperability endpoints

  • Direct secure messaging: jenniferbaker@ubuntureloaded.com

NPI Registry JSON

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563840000000",
    "number": "1154974798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211",
            "city": "SOPERTON",
            "state": "GA",
            "postal_code": "304570211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 SECOND ST STE A",
            "city": "SOPERTON",
            "state": "GA",
            "postal_code": "304572443",
            "telephone_number": "478-290-8453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UBUNTU RELOADED COFFEE AND CONVERSATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-290-8453"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jenniferbaker@ubuntureloaded.com",
            "affiliation": "N",
            "address_1": "1009 Second St Ste A",
            "city": "Soperton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "304572443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Soperton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.