Active NPI
Delmar Gardens of Smyrna, LLC
- Assisted Living Facility
- Smyrna, GA
National Provider Identifier
1194124149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 033-03-037-1
- Legal business name
- DELMAR GARDENS OF SMYRNA, LLC
- Doing business as
- Delmar Gardens of Smyrna
- Practice address
- 404 King Springs Village Pkwy SE
Smyrna, GA 30082-4240 - Phone
- (770) 432-4444
- Fax
- (770) 319-9129
- NPI assigned
- Aug 15, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gail Lee Hartmann
- Title
- Treasurer
- Phone
- (636) 733-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 033-03-037-1 | GA | Primary |
Addresses
Primary practice location
404 King Springs Village Pkwy SE
Smyrna, GA 30082-4240
Mailing address
14805 N Outer 40 Rd
Suite 300
Chesterfield, MO 63017-6060
Phone (636) 733-7000
Other names 1
- Delmar Gardens of Smyrna
National Provider Directory
National Provider Directory- Tax ID family
- Delmar Gardens of Smyrna
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Smyrna, GA
- NPI 1194711606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408060800000",
"number": "1194124149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14805 N OUTER 40 RD",
"address_2": "SUITE 300",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630176060",
"telephone_number": "636-733-7000",
"fax_number": "636-733-7010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 KING SPRINGS VILLAGE PKWY SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300824240",
"telephone_number": "770-432-4444",
"fax_number": "770-319-9129"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELMAR GARDENS OF SMYRNA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-15",
"last_updated": "2014-08-15",
"status": "A",
"authorized_official_last_name": "HARTMANN",
"authorized_official_first_name": "GAIL",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "636-733-7000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "GA",
"license": "033-03-037-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Delmar Gardens of Smyrna",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.