Belair at Macon

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

011-03-008-1 Issued in GA

Legal business name

BELAIR AT MACON

Doing business as

Goldstar Medical Services Inc.

Practice address

4901 Harrison Rd.
Macon, GA 31206-4135

Phone

(478) 476-9970

Fax

(478) 476-4633

NPI assigned

Feb 21, 2012

Last updated

Feb 21, 2012By 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

Mr. Vankaat Sanjeev

Title

Owner

Phone

(478) 447-0392

Specialties & licenses 1

Addresses

Other names 1

• Goldstar Medical Services Inc. Doing business as

Locations

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1184997298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 HARRISON RD.",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312064135",
            "telephone_number": "478-476-9970",
            "fax_number": "478-476-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 HARRISON RD.",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312064135",
            "telephone_number": "478-476-9970",
            "fax_number": "478-476-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELAIR AT MACON",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-21",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "SANJEEV",
        "authorized_official_first_name": "VANKAAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-447-0392",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "GA",
            "license": "011-03-008-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goldstar Medical Services Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jada C Beeson, CRNA
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• Alissa Marie Bell, LPC
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• Katrina Bell, FNP
• Tiara L Bell

• Physical Disabilities Residential Treatment Facility in Macon, GA
• Providers in Macon, GA by specialty
• Physical Disabilities Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.