NPIMap

Organization Active NPI

S&Y Personal Care Home

  • Adult Mental Health Clinic/Center
  • Thomaston, GA
National Provider Identifier
1295037877
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
145-01-013-9 Issued in GA
Legal business name
S&Y PERSONAL CARE HOME
Practice address
615 W Main St
Thomaston, GA 30286-3580
Phone
(706) 647-9389
Fax
(706) 647-9389
NPI assigned
Dec 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Authorized official

Name
Mrs. Rita J Smith, NURSE
Title
Owner
Phone
(706) 975-4590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 145-01-013-9 GA Primary

Addresses

Primary practice location

615 W Main St
Thomaston, GA 30286-3580

Mailing address

615 W Main St
Thomaston, GA 30286-3580
Phone (706) 647-9389

National Provider Directory

National Provider Directory
Tax ID family
Sy Personal Care Home2 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.

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1295037877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W MAIN ST",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863580",
            "telephone_number": "706-647-9389",
            "fax_number": "706-647-9389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W MAIN ST",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863580",
            "telephone_number": "706-647-9389",
            "fax_number": "706-647-9389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S&Y PERSONAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-975-4590",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSE"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "GA",
            "license": "145-01-013-9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomaston, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.