Cartersville Personal Care Home

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

CARTERSVILLE PERSONAL CARE HOME

Practice address

5 Bowen CT
Cartersville, GA 30120-2493

Phone

(678) 605-9339

Fax

(678) 605-9340

NPI assigned

Jun 14, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anna Cotton

Title

Corporate Administrative Assistant

Phone

(770) 692-3875

Specialties & licenses 1

Addresses

Tax ID family

Cartersville Personal Care Home3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Cordele Personal Care Home

  • Custodial Care Facility
  • Cordele, GA
  • NPI 1487184388
  NPD tax ID
• Monticello Personal Care Home

  • Custodial Care Facility
  • Monticello, GA
  • NPI 1326577255
  NPD tax ID

Locations

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1407386204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BOWEN CT",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202493",
            "telephone_number": "678-605-9339",
            "fax_number": "678-605-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BOWEN CT",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202493",
            "telephone_number": "678-605-9339",
            "fax_number": "678-605-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTERSVILLE PERSONAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "COTTON",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CORPORATE ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "770-692-3875"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cartersville Neurology, P.C.
• Cartersville Nursing LLC
• Cartersville OB-GYN Assoc PC
• Cartersville Occupational Medicine Center, LLC
• Cartersville Pediatric Associates
• Cartersville Physician Practice I LLC (Cartersville Physician Specialists)
• Cartersville Physician Practice Network, Inc
• Cartersville School System
• Cartersville Surgical Associates, P.C.
• Cartersville Urgent Care LLC

• Custodial Care Facility in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Custodial Care Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.