Sweet Pea Personal Care Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SWEET PEA PERSONAL CARE HOME

Practice address

9387 Burkhalter Rd
Statesboro, GA 30461-6765

Phone

(954) 793-3938

NPI assigned

May 23, 2012

Organization subpart

No

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

Authorized official

Name

Ashley Yancey

Title

Ceo

Phone

(954) 793-3938

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1164782223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 983",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304590983",
            "telephone_number": "954-793-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9387 BURKHALTER RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304616765",
            "telephone_number": "954-793-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET PEA PERSONAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "YANCEY",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-793-3938"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Supreme Internal Medicine, P.C.
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• Matthew Harris Swafford, PT, DPT
• Karla K. Swartz, LMT
• Sweet Nectar Lactation & Infant Feeding Support, LLC
• Kailee Ann Sylvester, PT, DPT
• Robby Talley, NP
• Qian Tang, NP
• William Stephen Tankersley, MD
• Allison Souza Tanner, DPT

• Assisted Living Facility in Statesboro, GA
• Providers in Statesboro, 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 May 23, 2012; 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.