Organization Active NPI

Personal Assistance of Toccoa, LLC

  • Child Physical Disabilities Respite Care
  • Toccoa, GA
National Provider Identifier
1316213150
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Physical Disabilities Respite CareTaxonomy code 385HR2065X
License
127-R-0934 Issued in GA
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

Updated by the provider on Mar 27, 2012

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.