Hays House LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

PCH009024 Issued in GA

Legal business name

HAYS HOUSE LLC

Practice address

1028 Highland Cir SE
Conyers, GA 30012-5414

Phone

(770) 679-4235

Fax

(770) 679-4238

NPI assigned

Oct 24, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Sherrie Lynn Wallace-Chambliss

Title

Administrator

Phone

(770) 679-4235

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Highland Circle Personal Care Home Doing business as

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1386072643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3731 WAVESPRAY CT",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305061079",
            "telephone_number": "678-943-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 HIGHLAND CIR SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300125414",
            "telephone_number": "770-679-4235",
            "fax_number": "770-679-4238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYS HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "WALLACE-CHAMBLISS",
        "authorized_official_first_name": "SHERRIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-679-4235",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": "PCH009024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE FACILITY REGULATION DIVISION",
            "identifier": "PCH009024",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Circle Personal Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Conyers, GA
• Providers in Conyers, GA by specialty
• Assisted Living Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.