Organization Active NPI

Abundant Living Care Home

  • Adult Care Home Facility
  • Albany, GA
National Provider Identifier
1407296460
Registry record updated Jul 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
ABUNDANT LIVING CARE HOME
Practice address
511 N Monroe St
Albany, GA 31701-2292
Phone
(229) 420-7788
NPI assigned
Jul 4, 2013
Last updated
Jul 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2013

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

Authorized official

Name
Mrs. Alicia Kay Byrden, MS
Title
Social Worker
Phone
(229) 352-6560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X NU Primary

Addresses

Primary practice location

511 N Monroe St
Albany, GA 31701-2292

Mailing address

118 7TH Ave NW
Cairo, GA 39828-2071
Phone (229) 327-6560

National Provider Directory

National Provider Directory

Locations

511 N Monroe St
Albany, GA 31701
Phone (229) 327-6560

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1372896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372896000000",
    "number": "1407296460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 7TH AVE NW",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398282071",
            "telephone_number": "229-327-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 N MONROE ST",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012292",
            "telephone_number": "229-420-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT LIVING CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-04",
        "last_updated": "2013-07-04",
        "status": "A",
        "authorized_official_last_name": "BYRDEN",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "229-352-6560",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 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.