Active NPI
Betty's Assisted Living Home,LLC
- Home Health Agency
- Douglas, GA
National Provider Identifier
1346547858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- BETTY'S ASSISTED LIVING HOME,LLC
- Practice address
- 603 Ward St E
Douglas, GA 31533-0301 - Phone
- (912) 331-0922
- NPI assigned
- Feb 17, 2011
- Last updated
- Feb 17, 2011
- 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
- Mrs. Betty Sue Nipper
- Title
- Owner/Operator
- Phone
- (912) 331-0922
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
603 Ward St E
Douglas, GA 31533-0301
Mailing address
603 Ward St E
Douglas, GA 31533-0301
Phone (912) 331-0922
National Provider Directory
National Provider DirectoryLocations
603 Ward St E
Douglas, GA 31533
Phone (912) 331-0922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297900800000",
"number": "1346547858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 WARD ST E",
"city": "DOUGLAS",
"state": "GA",
"postal_code": "315330301",
"telephone_number": "912-331-0922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 WARD ST E",
"city": "DOUGLAS",
"state": "GA",
"postal_code": "315330301",
"telephone_number": "912-331-0922"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETTY'S ASSISTED LIVING HOME,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-17",
"last_updated": "2011-02-17",
"status": "A",
"authorized_official_last_name": "NIPPER",
"authorized_official_first_name": "BETTY",
"authorized_official_middle_name": "SUE",
"authorized_official_title_or_position": "OWNER/OPERATOR",
"authorized_official_telephone_number": "912-331-0922",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglas, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.