Organization Active NPI

Leisure Living, Inc

Doing business as Precious Care Home

  • Assisted Living Facility
  • Vidalia, GA
National Provider Identifier
1396883252
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LEISURE LIVING, INC
Doing business as
Precious Care Home
Practice address
1105 Mount Vernon Rd
Vidalia, GA 30474-3002
Phone
(912) 537-9306
Fax
(912) 538-5509
NPI assigned
Feb 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Joette H. Gay, R.N.
Title
Director
Phone
(912) 537-9306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X GA Primary

Addresses

Primary practice location

1105 Mount Vernon Rd
Vidalia, GA 30474-3002

Mailing address

1105 Mount Vernon Rd
PO. Box 561
Vidalia, GA 30474-3002
Phone (912) 537-9306

Other names 1

  • Precious Care Home Doing business as

National Provider Directory

National Provider Directory

Locations

1105 Mount Vernon Rd
Vidalia, GA 30474
Phone (912) 537-9306

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396883252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 MOUNT VERNON RD",
            "address_2": "PO. BOX 561",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304743002",
            "telephone_number": "912-537-9306",
            "fax_number": "912-538-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 MOUNT VERNON RD",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304743002",
            "telephone_number": "912-537-9306",
            "fax_number": "912-538-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEISURE LIVING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "JOETTE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "912-537-9306",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precious Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vidalia, GA

Sources for this page

  • 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.