Organization Active NPI

Spice of Life

  • Assisted Living Facility
  • Augusta, GA
National Provider Identifier
1164564191
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SPICE OF LIFE
Practice address
1458 Mill St
Augusta, GA 30901-3591
Phone
(706) 724-7689
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Mattie Lawson
Title
Owner
Phone
(706) 724-7689

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1458 Mill St
Augusta, GA 30901-3591

Mailing address

1458 Mill St
Augusta, GA 30901-3591
Phone (706) 724-7689

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164564191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1458 MILL ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309013591",
            "telephone_number": "706-724-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1458 MILL ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309013591",
            "telephone_number": "706-724-7689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPICE OF LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "MATTIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-724-7689",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • 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.