Organization Active NPI

Prudent Senior Services of Georgia

  • Adult Day Care Clinic/Center
  • Peachtree Corners, GA
National Provider Identifier
1427681816
Registry record updated May 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
PRUDENT SENIOR SERVICES OF GEORGIA
Practice address
3860 Holcomb Bridge Rd
Peachtree Corners, GA 30092
Phone
(770) 454-7979
NPI assigned
Feb 13, 2020
Organization subpart
Yes
Parent organization
PRUDENT SENIOR SERVICES OF GEORGIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 28, 2023

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

Authorized official

Name
Wooiyi Yin
Title
Secretary
Phone
(770) 612-1388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

3860 Holcomb Bridge Rd
Peachtree Corners, GA 30092

Mailing address

3850 Holcomb Bridge Rd Ste 350
Peachtree Corners, GA 30092-5292
Phone (770) 454-7979

National Provider Directory

National Provider Directory
Tax ID family
Prudent Senior Services of Georgia3 organizations share this tax ID, including this one
Part of
Prudent Senior Services of Georgia

Other organizations with this tax ID 2

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

Locations

5522 New Peachtree Rd
Ste 122
Atlanta, GA 30341
Phone (770) 612-1388

NPI Registry JSON

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685232000000",
    "number": "1427681816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 HOLCOMB BRIDGE RD STE 350",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300925292",
            "telephone_number": "770-454-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 HOLCOMB BRIDGE RD",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "30092",
            "telephone_number": "770-454-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUDENT SENIOR SERVICES OF GEORGIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRUDENT SENIOR SERVICES OF GEORGIA",
        "enumeration_date": "2020-02-13",
        "last_updated": "2023-05-28",
        "certification_date": "2023-05-28",
        "status": "A",
        "authorized_official_last_name": "YIN",
        "authorized_official_first_name": "WOOIYI",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "770-612-1388"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree Corners, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2023; 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.