Organization Active NPI

Bestcare Senior Home Inc.

Doing business as Bestcare Senior Home

  • Assisted Living Facility
  • Lawrenceville, GA
National Provider Identifier
1437737764
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BESTCARE SENIOR HOME INC.
Doing business as
Bestcare Senior Home
Practice address
2775 Cruse Rd Ste 1501
Lawrenceville, GA 30044-7145
Phone
(770) 717-8588
Fax
(770) 717-2388
NPI assigned
Mar 30, 2021
Last updated
Mar 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Authorized official

Name
Mrs. Yanming Pei, RN
Title
Adm
Phone
(770) 363-5480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

2775 Cruse Rd Ste 1501
Lawrenceville, GA 30044-7145

Mailing address

1392 Sever Creek Dr
Lawrenceville, GA 30043-5188
Phone (770) 363-5480

Other practice location 1

2775 Cruse Rd Ste 1401
Lawrenceville, GA 30044-7145
Phone (770) 717-8588

Other identifiers 1

IdentifierTypeStateIssuer
003213730AMedicaidGA

Other names 1

  • Bestcare Senior Home Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL yanniepei@gmail.com Other
CONNECT URL Yanniepei@yahoo.com Other

National Provider Directory

National Provider Directory

Locations

2775 Cruse Rd
Ste 1401
Lawrenceville, GA 30044
Phone (770) 717-8588

2775 Cruse Rd
Ste 1501
Lawrenceville, GA 30044
Phone (770) 717-8588

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1437737764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1392 SEVER CREEK DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435188",
            "telephone_number": "770-363-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 CRUSE RD STE 1501",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300447145",
            "telephone_number": "770-717-8588",
            "fax_number": "770-717-2388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2775 Cruse Rd Ste 1401",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300447145",
            "country_code": "US",
            "telephone_number": "770-717-8588",
            "fax_number": "770-717-2388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BESTCARE SENIOR HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "PEI",
        "authorized_official_first_name": "YANMING",
        "authorized_official_title_or_position": "ADM",
        "authorized_official_telephone_number": "770-363-5480",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003213730A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "yanniepei@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business only",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Business",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Business",
            "address_1": "2775 Cruse Rd Ste 1401",
            "city": "Lawrenceville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300447145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Yanniepei@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "Business",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Business",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Business",
            "address_1": "2775 Cruse Rd Ste 1401",
            "city": "Lawrenceville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300447145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bestcare Senior Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.