Country Heritage II, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

COUNTRY HERITAGE II, INC.

Practice address

5761 Conner Rd
Flowery Branch, GA 30542-2717

Phone

(770) 967-3090

Fax

(770) 967-3090

NPI assigned

Dec 18, 2006

Last updated

Aug 22, 2020By 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. Nora Ann Walton

Title

President

Phone

(770) 965-8998

Specialties & licenses 1

Addresses

Tax ID family

Country Heritage I Inc2 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.

• Country Heritage I, Inc.

  • Assisted Living Facility
  • Flowery Branch, GA
  • NPI 1184787699
  NPD tax ID

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326101759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5769 CONNER RD",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305422717",
            "telephone_number": "770-965-8998",
            "fax_number": "770-965-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5761 CONNER RD",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305422717",
            "telephone_number": "770-967-3090",
            "fax_number": "770-967-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY HERITAGE II, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "NORA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-965-8998",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Coles, SA-C
• Haley Melissa Collins, LPC
• Laurie Kathleen Collins, DPT
• Companion Connections
• Country Heritage I, Inc.
• Giselle Cram, RD
• April Stapler Crisp
• Thomas William Crumbley, D.C.
• Sandra Dabrowski, SLP
• Kelly Dahlke, LMSW

• Assisted Living Facility in Flowery Branch, GA
• Providers in Flowery Branch, GA by specialty
• Assisted Living Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.