Organization Active NPI

Senior Care Associates

  • Health Maintenance Organization
  • Conyers, GA
National Provider Identifier
1215320403
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
SENIOR CARE ASSOCIATES
Practice address
2460 Fairhaven CV NE
Conyers, GA 30012-2663
Phone
(770) 572-5727
NPI assigned
Mar 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Sherry Nelson
Title
Partner
Phone
(770) 572-5727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

2460 Fairhaven CV NE
Conyers, GA 30012-2663

Mailing address

2460 Fairhaven CV NE
Conyers, GA 30012-2663

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1215320403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 FAIRHAVEN CV NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300122663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 FAIRHAVEN CV NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300122663",
            "telephone_number": "770-572-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "770-572-5727",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.