Country Heritage I, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

COUNTRY HERITAGE I, INC.

Practice address

5755 Conner Rd
Flowery Branch, GA 30542-2717

Phone

(770) 967-0324

Fax

(770) 967-0324

NPI assigned

Dec 18, 2006

Last updated

Aug 22, 2020By 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. Nora Ann Walton

Title

President

Phone

(770) 965-8998

Specialties & licenses 1

Addresses

Tax ID family

Country Heritage I Inc2 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.

• Country Heritage II, Inc.

  • Assisted Living Facility
  • Flowery Branch, GA
  • NPI 1326101759
  NPD tax ID

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184787699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5769 CONNER RD",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305422717",
            "telephone_number": "770-965-8998",
            "fax_number": "770-965-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 CONNER RD",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305422717",
            "telephone_number": "770-967-0324",
            "fax_number": "770-967-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY HERITAGE I, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "NORA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-965-8998",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Co, DMD
• Christopher Coles, SA-C
• Haley Melissa Collins, LPC
• Laurie Kathleen Collins, DPT
• Companion Connections
• Country Heritage II, Inc.
• Giselle Cram, RD
• April Stapler Crisp
• Thomas William Crumbley, D.C.
• Sandra Dabrowski, SLP

• Assisted Living Facility in Flowery Branch, GA
• Providers in Flowery Branch, 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 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.