Active NPI
Abundant Living Care Home
- Adult Care Home Facility
- Albany, GA
National Provider Identifier
1407296460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Assisted Living Facility
- Albany, GA
- NPI 1528851698
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.