DC Enterprise

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

License

RN104355 Issued in GA

Legal business name

DC ENTERPRISE

Practice address

285 Wild Iris LN
Clarkesville, GA 30523-1849

Phone

(706) 839-6114

Fax

(706) 839-6114

NPI assigned

Mar 2, 2009

Last updated

Mar 2, 2009By 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. Dana Lynn Anderson, REGISTERED NURSE

Title

President/ Owner Operator

Phone

(706) 739-6114

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235952000000",
    "number": "1235379405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 WILD IRIS LN",
            "city": "CLARKESVILLE",
            "state": "GA",
            "postal_code": "305231849",
            "telephone_number": "706-839-6114",
            "fax_number": "706-839-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 WILD IRIS LN",
            "city": "CLARKESVILLE",
            "state": "GA",
            "postal_code": "305231849",
            "telephone_number": "706-839-6114",
            "fax_number": "706-839-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DC ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2009-03-02",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER OPERATOR",
        "authorized_official_telephone_number": "706-739-6114",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "GA",
            "license": "RN104355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Skilled Nursing Facility in Clarkesville, GA
• Providers in Clarkesville, GA by specialty
• Pediatric Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; 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.