Organization Active NPI

Compassionate Care Personal Care Home

  • Nursing Care Agency
  • Macon, GA
National Provider Identifier
1376142232
Registry record updated Dec 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
COMPASSIONATE CARE PERSONAL CARE HOME
Practice address
182 Riley Ave Ste B
Macon, GA 31204-0771
Phone
(478) 357-2122
NPI assigned
Oct 21, 2020
Last updated
Dec 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2020

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

Authorized official

Name
Jamanic ReavesNPI 1184231557
Title
Owner
Phone
(478) 444-9204

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

182 Riley Ave Ste B
Macon, GA 31204-0771

Mailing address

182 Riley Ave Ste B
Macon, GA 31204-0771
Phone (478) 357-2122

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608940800000",
    "number": "1376142232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 RILEY AVE STE B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312040771",
            "telephone_number": "478-357-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 RILEY AVE STE B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312040771",
            "telephone_number": "478-357-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE CARE PERSONAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-12-26",
        "certification_date": "2020-12-26",
        "status": "A",
        "authorized_official_last_name": "REAVES",
        "authorized_official_first_name": "JAMANIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-444-9204"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.