Prudent Senior Services of America

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

PRUDENT SENIOR SERVICES OF AMERICA

Practice address

3850 Holcomb Bridge Rd Ste 350
Peachtree Corners, GA 30092-5292

Phone

(770) 454-7979

NPI assigned

Dec 13, 2023

Organization subpart

No

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

Authorized official

Name

Wooiyi Tan Yin

Title

Coo

Phone

(770) 612-1388

Specialties & licenses 1

Addresses

Tax ID family

Prudent Senior Services of America2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Prudent Senior Services of America, Inc.

  • Assisted Living Facility
  • Peachtree Corners, GA
  • NPI 1225806920
  NPD tax ID

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1235907932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 HOLCOMB BRIDGE RD STE 350",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300925292",
            "telephone_number": "770-454-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 HOLCOMB BRIDGE RD STE 350",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300925292",
            "telephone_number": "770-454-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUDENT SENIOR SERVICES OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "YIN",
        "authorized_official_first_name": "WOOIYI",
        "authorized_official_middle_name": "TAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "770-612-1388"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prudent Senior Services of America, Inc.
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• Adult Day Care Clinic/Center in Peachtree Corners, GA
• Providers in Peachtree Corners, 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 Dec 13, 2023; 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.