Ad&S Personal Care Home, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

AD&S PERSONAL CARE HOME, INC.

Practice address

624 Maxwell St
Hinesville, GA 31313-4213

Phone

(912) 877-5488

Fax

(912) 877-5464

NPI assigned

Nov 2, 2013

Last updated

Nov 2, 2013By 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

Mr. James Montgomery

Title

Co-Owner/Secretary

Phone

(404) 862-1303

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383350400000",
    "number": "1346679180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3685 SUMMIT TRCE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300343846",
            "telephone_number": "404-862-1303",
            "fax_number": "404-212-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 MAXWELL ST",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313134213",
            "telephone_number": "912-877-5488",
            "fax_number": "912-877-5464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AD&S PERSONAL CARE HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CO-OWNER/SECRETARY",
        "authorized_official_telephone_number": "404-862-1303",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Hinesville, GA
• Providers in Hinesville, GA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; 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.