Mile Stone Personal Care Home

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

MILE STONE PERSONAL CARE HOME

Practice address

206 Anderson Ave
Fort Valley, GA 31030-4144

Phone

(478) 319-3158

NPI assigned

Apr 27, 2021

Last updated

Apr 27, 2021By 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. Diane Davis

Title

Manager

Phone

(478) 319-3158

Specialties & licenses 1

Addresses

Other names 1

• Mile Stone Personal Care Home Former legal business name

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.

• Diane Felton Smith, TRANPORTATION

  • Private Vehicle
  • Warner Robins, GA
  • NPI 1265720676
  NPD

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1205418365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 ANDERSON AVE",
            "city": "FORT VALLEY",
            "state": "GA",
            "postal_code": "310304144",
            "telephone_number": "478-319-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 ANDERSON AVE",
            "city": "FORT VALLEY",
            "state": "GA",
            "postal_code": "310304144",
            "telephone_number": "478-319-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILE STONE PERSONAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "478-319-3158",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mile Stone Personal Care Home",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Shavon McWilliams
• Medsrus Pharmacy Consulting, LLC
• Middle Flint Area Community Service Board (Fort Valley Outpatient)
• Middle Georgia Health Care
• Mile Stone Adult Day Health Service
• Juanita Miller
• Jennifer Moore
• Robert L. Nelson, M.D.
• Jonathan B O'Connor, PHARM. D
• Belinda Marshelle Oates, MS

• Adult Day Care Clinic/Center in Fort Valley, GA
• Providers in Fort Valley, GA by specialty
• Adult Day Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.