North Georgia Personal Care LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

112-R-0521 Issued in GA

Legal business name

NORTH GEORGIA PERSONAL CARE LLC

Practice address

80 Larkspur LN
80 Larkspur Lane
Talking Rock, GA 30175-3743

Phone

(706) 253-0131

Fax

(706) 253-0131

NPI assigned

Jan 8, 2010

Last updated

Jan 8, 2010By 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

Ms. Rose Mary Davidson, (706)0253-0131

Title

Owner

Phone

(706) 253-0131

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1437489762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 LARKSUPR LANE",
            "city": "TALKING ROCK",
            "state": "GA",
            "postal_code": "30175",
            "telephone_number": "706-253-0131",
            "fax_number": "706-253-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 LARKSPUR LN",
            "address_2": "80 LARKSPUR LANE",
            "city": "TALKING ROCK",
            "state": "GA",
            "postal_code": "301753743",
            "telephone_number": "706-253-0131",
            "fax_number": "706-253-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH GEORGIA PERSONAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-253-0131",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "(706)0253-0131"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "GA",
            "license": "112-R-0521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Talking Rock, GA
• Providers in Talking Rock, GA by specialty
• Adult Care Home Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.