Exton LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

05601017-1 Issued in GA

Legal business name

EXTON LLC

Practice address

220 Price Rd
Fayetteville, GA 30215-2019

Phone

(770) 719-3577

Fax

(678) 389-4783

NPI assigned

Sep 11, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Tina Topping

Title

Ceo

Phone

(770) 369-7355

Specialties & licenses 1

Addresses

Other names 1

• Tiara's Adult Personal Care Home Doing business as

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1376978155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 PRICE RD",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302152019",
            "telephone_number": "770-719-3577",
            "fax_number": "678-389-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 PRICE RD",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302152019",
            "telephone_number": "770-719-3577",
            "fax_number": "678-389-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "TOPPING",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-369-7355",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "GA",
            "license": "05601017-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tiara's Adult Personal Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Care Home Facility in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Adult Care Home Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.