Active NPI
Personal Assistance of Toccoa, LLC
- Child Physical Disabilities Respite Care
- Toccoa, GA
National Provider Identifier
1316213150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Physical Disabilities Respite Care
- License
- 127-R-0934
- Legal business name
- PERSONAL ASSISTANCE OF TOCCOA, LLC
- Practice address
- 221 E Doyle St
Toccoa, GA 30577-2960 - Phone
- (706) 886-2847
- Fax
- (706) 886-0146
- NPI assigned
- Mar 27, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Milissa Michelle Martin
- Title
- Ceo
- Phone
- (706) 886-2847
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Physical Disabilities Respite Care | 385HR2065X | 127-R-0934 | GA | Primary |
Addresses
Primary practice location
221 E Doyle St
Toccoa, GA 30577-2960
Mailing address
289A Big a Rd
Toccoa, GA 30577-6019
Phone (706) 886-2847
National Provider Directory
National Provider DirectoryLocations
289 Big a Rd
Toccoa, GA 30577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332806400000",
"number": "1316213150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "289A BIG A RD",
"city": "TOCCOA",
"state": "GA",
"postal_code": "305776019",
"telephone_number": "706-886-2847",
"fax_number": "706-886-0146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 E DOYLE ST",
"city": "TOCCOA",
"state": "GA",
"postal_code": "305772960",
"telephone_number": "706-886-2847",
"fax_number": "706-886-0146"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERSONAL ASSISTANCE OF TOCCOA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-27",
"last_updated": "2012-03-27",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "MILISSA",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "706-886-2847"
},
"taxonomies": [
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": "GA",
"license": "127-R-0934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toccoa, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.