PRN Nursing and Alternative Living Family Care Solutions

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

158010091 Issued in GA

Legal business name

PRN NURSING AND ALTERNATIVE LIVING FAMILY CARE SOLUTIONS

Practice address

115 Lakeshore Dr S
Ivey, GA 31031-3537

Phone

(478) 456-9296

NPI assigned

Jun 23, 2011

Last updated

Jun 23, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Janice S Hill, RNNPI 1770855215

Title

Director

Phone

(478) 456-9296

Specialties & licenses 1

Addresses

Tax ID family

County Paradise Assisted Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• County Paradise Assisted Living

  • Assisted Living Facility
  • McIntyre, GA
  • NPI 1679804603
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Janice S Hill, RN

  • Community Health Registered Nurse
  • McIntyre, GA
  • NPI 1770855215
  NPD (past) Authorized official

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1174819619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 LAKESHORE DRIVE SOUTH",
            "city": "IVEY",
            "state": "GA",
            "postal_code": "31031",
            "telephone_number": "478-456-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 LAKESHORE DR S",
            "city": "IVEY",
            "state": "GA",
            "postal_code": "310313537",
            "telephone_number": "478-456-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRN NURSING AND ALTERNATIVE LIVING FAMILY CARE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "478-456-9296",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "GA",
            "license": "158010091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; 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.