Organization Active NPI

Elbert County Senior Center

  • Home Delivered Meals
  • Elberton, GA
National Provider Identifier
1265588495
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
ELBERT COUNTY SENIOR CENTER
Practice address
230 W Tate St
Elberton, GA 30635-1634
Phone
(706) 283-2033
Fax
(706) 283-9135
NPI assigned
Jan 29, 2007
Last updated
Nov 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Kenn Oneal Walton
Title
Programmatic Assistant
Phone
(706) 283-2033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X Primary

Addresses

Primary practice location

230 W Tate St
Elberton, GA 30635-1634

Mailing address

230 W Tate St
P.O. Box 493
Elberton, GA 30635-1634
Phone (706) 283-2033

National Provider Directory

National Provider Directory
Tax ID family
Elbert County Georgia2 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.

Locations

230 W Tate St
Elberton, GA 30635
Phone (706) 283-2033

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1265588495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 W TATE ST",
            "address_2": "P.O. BOX 493",
            "city": "ELBERTON",
            "state": "GA",
            "postal_code": "306351634",
            "telephone_number": "706-283-2033",
            "fax_number": "706-283-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W TATE ST",
            "city": "ELBERTON",
            "state": "GA",
            "postal_code": "306351634",
            "telephone_number": "706-283-2033",
            "fax_number": "706-283-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELBERT COUNTY SENIOR CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "KENN",
        "authorized_official_middle_name": "ONEAL",
        "authorized_official_title_or_position": "PROGRAMMATIC ASSISTANT",
        "authorized_official_telephone_number": "706-283-2033"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elberton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.