Sparks Retirement Home

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

RN066279 Issued in GA

Legal business name

SPARKS RETIREMENT HOME

Practice address

304 S Goodman St
Sparks, GA 31647-7640

Phone

(229) 549-6448

Fax

(229) 549-8620

NPI assigned

Sep 9, 2014

Last updated

Sep 9, 2014By 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

Nancy Joann Hamner, JOANN HAMNER R.N.

Title

Owner/Operator

Phone

(229) 546-7373

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1376944363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S GOODMAN ST",
            "address_2": "P.O. BOX 9",
            "city": "SPARKS",
            "state": "GA",
            "postal_code": "316477640",
            "telephone_number": "229-549-6448",
            "fax_number": "229-549-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S GOODMAN ST",
            "city": "SPARKS",
            "state": "GA",
            "postal_code": "316477640",
            "telephone_number": "229-549-6448",
            "fax_number": "229-549-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKS RETIREMENT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "HAMNER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "JOANN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "229-546-7373",
        "authorized_official_credential": "JOANN HAMNER R.N."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "GA",
            "license": "RN066279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Health Clinic/Center in Sparks, GA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.