Precious Ones Personal Care Home Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

136-01-097-1 Issued in GA

Legal business name

PRECIOUS ONES PERSONAL CARE HOME INC.

Practice address

20944 US Hwy 84 East
Precious Ones Personal Care Home Inc.
Boston, GA 31626

Phone

(229) 498-5425

Fax

(229) 263-9820

NPI assigned

Jun 23, 2010

Last updated

Oct 25, 2010By 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. Bobbie Jean Richardson

Title

Owner-Director

Phone

(229) 498-5425

Specialties & licenses 3

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1285945469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20944 US HWY 84 EAST",
            "address_2": "PRECIOUS ONES PERSONAL CARE HOME INC.",
            "city": "BOSTON",
            "state": "GA",
            "postal_code": "31626",
            "telephone_number": "229-498-5425",
            "fax_number": "229-263-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20944 US HWY 84 EAST",
            "address_2": "PRECIOUS ONES PERSONAL CARE HOME INC.",
            "city": "BOSTON",
            "state": "GA",
            "postal_code": "31626",
            "telephone_number": "229-498-5425",
            "fax_number": "229-263-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECIOUS ONES PERSONAL CARE HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "BOBBIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER-DIRECTOR",
        "authorized_official_telephone_number": "229-498-5425",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "GA",
            "license": "136-01-097-1",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "136-01-097-1",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "GA",
            "license": "136-01-097-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084790774C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084790774A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084790774B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Boston, GA
• Providers in Boston, GA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.