Organization Active NPI

Senior Care America

  • Assisted Living Facility
  • Lawrenceville, GA
National Provider Identifier
1346597572
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
067-01-392-1 Issued in GA
Legal business name
SENIOR CARE AMERICA
Practice address
828 Rock Springs Rd
Lawrenceville, GA 30043-2117
Phone
(678) 371-4191
NPI assigned
Aug 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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

Authorized official

Name
Mr. Young Han Lee
Title
Owner
Phone
(678) 371-4191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 067-01-392-1 GA Primary

Addresses

Primary practice location

828 Rock Springs Rd
Lawrenceville, GA 30043-2117

Mailing address

828 Rock Springs Rd
Lawrenceville, GA 30043-2117
Phone (678) 371-4191

National Provider Directory

National Provider Directory

Locations

828 Rock Springs Rd
Lawrenceville, GA 30043
Phone (678) 371-4191

NPI Registry JSON

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1346597572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 ROCK SPRINGS RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300432117",
            "telephone_number": "678-371-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 ROCK SPRINGS RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300432117",
            "telephone_number": "678-371-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "HAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-371-4191",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": "067-01-392-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.