NPIMap

Organization Active NPI

Victoria Presonal Care Home LLC

  • Assisted Living Facility
  • Macon, GA
National Provider Identifier
1467896407
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
PCH006424 Issued in GA
Legal business name
VICTORIA PRESONAL CARE HOME LLC
Practice address
2666 Nancy Dr
Macon, GA 31206-4941
Phone
(478) 785-6600
NPI assigned
Apr 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Authorized official

Name
Victoria Gibson Stewart
Title
Ceo/Adminstrator
Phone
(478) 785-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X PCH006424 GA Primary

Addresses

Primary practice location

2666 Nancy Dr
Macon, GA 31206-4941

Mailing address

2666 Nancy Dr
Macon, GA 31206-4941
Phone (478) 785-6600

National Provider Directory

National Provider Directory
Tax ID family
Victoria Personal Care Home I2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1467896407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2666 NANCY DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312064941",
            "telephone_number": "478-785-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2666 NANCY DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312064941",
            "telephone_number": "478-785-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA PRESONAL CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-22",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "GIBSON",
        "authorized_official_title_or_position": "CEO/ADMINSTRATOR",
        "authorized_official_telephone_number": "478-785-6600"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": "PCH006424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.

Verify at the official NPI Registry.