Council on Aging for McIntosh Trail, Inc.

Primary specialty

Home Delivered MealsTaxonomy code 332U00000X

Legal business name

COUNCIL ON AGING FOR MCINTOSH TRAIL, INC.

Practice address

230 Meriwether St
Griffin, GA 30224-3011

Phone

(770) 227-1904

Fax

(770) 227-6672

NPI assigned

Nov 22, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Brenda F. Sell

Title

Asst. Director

Phone

(770) 227-1904

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396810552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 169",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302240005",
            "telephone_number": "770-227-1904",
            "fax_number": "770-227-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 MERIWETHER ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302243011",
            "telephone_number": "770-227-1904",
            "fax_number": "770-227-6672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNCIL ON AGING FOR MCINTOSH TRAIL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SELL",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "ASST. DIRECTOR",
        "authorized_official_telephone_number": "770-227-1904",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin Brant Cooper
• Katie Tara Corty, NP
• Lakeshia Danielle Cotton, LPN
• Alyssa Marie Couch
• Michelle Antoinette Couch
• Kelley M Cousin, MD
• Angella Cousins
• Ashley Cowan
• Dakota Marie Thaxton Craft, PHARMD
• Lisa Crain

• Home Delivered Meals in Griffin, GA
• Providers in Griffin, GA by specialty
• Home Delivered Meals in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.