Organization Active NPI

Precious Living Incorporated

  • Intellectual Disabilities Intermediate Care Facility
  • Stone Mountain, GA
National Provider Identifier
1427378058
Registry record updated Jun 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
044016471 Issued in GA
Legal business name
PRECIOUS LIVING INCORPORATED
Practice address
448 Registry BLF
Stone Mountain, GA 30087-6602
Phone
(770) 465-2505
Fax
(770) 465-2505
NPI assigned
Jun 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2010

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

Authorized official

Name
Pamela Poundsbutler
Title
Ceo/Director
Phone
(770) 465-2505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 044016471 GA Primary

Addresses

Primary practice location

448 Registry BLF
Stone Mountain, GA 30087-6602

Mailing address

448 Registry BLF
Stone Mountain, GA 30087-6602
Phone (770) 465-2505

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1275696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275696000000",
    "number": "1427378058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 REGISTRY BLF",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300876602",
            "telephone_number": "770-465-2505",
            "fax_number": "770-465-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 REGISTRY BLF",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300876602",
            "telephone_number": "770-465-2505",
            "fax_number": "770-465-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECIOUS LIVING INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-05",
        "last_updated": "2010-06-05",
        "status": "A",
        "authorized_official_last_name": "POUNDSBUTLER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "770-465-2505"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "GA",
            "license": "044016471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2010; 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.