The Griffin House, LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

054030021 Issued in GA

Legal business name

THE GRIFFIN HOUSE, LLC

Practice address

107 W Liberty St
Claxton, GA 30417-2005

Phone

(912) 739-4000

Fax

(912) 739-4404

NPI assigned

Nov 2, 2011

Last updated

Nov 2, 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. Jill D Griffin

Title

Owner

Phone

(912) 739-4000

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1215213319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 N SPRING ST",
            "city": "CLAXTON",
            "state": "GA",
            "postal_code": "304171724",
            "telephone_number": "912-739-4000",
            "fax_number": "912-739-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W LIBERTY ST",
            "city": "CLAXTON",
            "state": "GA",
            "postal_code": "304172005",
            "telephone_number": "912-739-4000",
            "fax_number": "912-739-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GRIFFIN HOUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-02",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-739-4000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": "054020021",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "GA",
            "license": "054030021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Justin Thomas
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• Walgreen Co (Walgreens #17046)

• Alzheimer Center (Dementia Center) in Claxton, GA
• Providers in Claxton, GA by specialty
• Alzheimer Center (Dementia Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.