Active NPI
Englewood Health Care
- Assisted Living Facility
- Albany, GA
National Provider Identifier
1437287653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- ENGLEWOOD HEALTH CARE
- Practice address
- 907 N Madison St
Albany, GA 31701-2210 - Phone
- (229) 435-2109
- Fax
- (229) 435-0729
- NPI assigned
- Mar 1, 2007
- 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. Joyce Barlow
- Title
- Ceo
- Phone
- (229) 435-2109
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary | ||
| Custodial Care Facility | 311Z00000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
907 N Madison St
Albany, GA 31701-2210
Mailing address
PO Box 1743
Albany, GA 31702-1743
Phone (229) 435-2109
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000302189A | Medicaid | GA | |
| 000482611B | Medicaid | GA | |
| 000341899G | Medicaid | GA | |
| 000341899B | Medicaid | GA | |
| 000741034A | Medicaid | GA | |
| 000341899A | Medicaid | GA |
National Provider Directory
National Provider Directory- Tax ID family
- Englewood Health Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Respite Care
- Albany, GA
- NPI 1265772438
Locations
907 N Madison St
Albany, GA 31701
Phone (229) 435-2109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362528000000",
"number": "1437287653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1743",
"city": "ALBANY",
"state": "GA",
"postal_code": "317021743",
"telephone_number": "229-435-2109",
"fax_number": "229-435-0729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 N MADISON ST",
"city": "ALBANY",
"state": "GA",
"postal_code": "317012210",
"telephone_number": "229-435-2109",
"fax_number": "229-435-0729"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENGLEWOOD HEALTH CARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-01",
"last_updated": "2013-03-06",
"status": "A",
"authorized_official_last_name": "BARLOW",
"authorized_official_first_name": "JOYCE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "229-435-2109",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000302189A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000482611B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000341899G",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000341899B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000741034A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000341899A",
"state": "GA"
}
],
"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 Mar 6, 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.