Orchid Manor Personal Care Home, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ORCHID MANOR PERSONAL CARE HOME, INC.

Practice address

312 6TH Ave
Albany, GA 31701-2033

Phone

(229) 405-3932

Fax

(229) 405-3932

NPI assigned

Mar 18, 2017

Last updated

Mar 18, 2017By 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

Naeem Khan

Title

Administrator

Phone

(229) 402-0639

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1489795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489795200000",
    "number": "1245771682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 6TH AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012033",
            "telephone_number": "229-405-3932",
            "fax_number": "229-405-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 6TH AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012033",
            "telephone_number": "229-405-3932",
            "fax_number": "229-405-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHID MANOR PERSONAL CARE HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-18",
        "last_updated": "2017-03-18",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "NAEEM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "229-402-0639"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Albany, GA
• Providers in Albany, GA by specialty
• Assisted Living Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2017; 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.