Precious Jewel

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

044019211 Issued in GA

Legal business name

PRECIOUS JEWEL

Practice address

6224 Hillandale Dr
Lithonia, GA 30058-4760

Phone

(770) 323-0037

Fax

(770) 981-1416

NPI assigned

Dec 5, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Doreen D Smith

Title

Owning Director

Phone

(770) 323-0037

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1285902205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6224 HILLANDALE DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300584760",
            "telephone_number": "770-323-0037",
            "fax_number": "770-981-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6224 HILLANDALE DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300584760",
            "telephone_number": "770-323-0037",
            "fax_number": "770-981-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECIOUS JEWEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNING DIRECTOR",
        "authorized_official_telephone_number": "770-323-0037",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": "044019211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.