Organization Active NPI

Green Hearts Adult Day Center

  • Adult Day Care Clinic/Center
  • Dallas, GA
National Provider Identifier
1497646582
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
GREEN HEARTS ADULT DAY CENTER
Doing business as
Green Hearts Adult Day Center
Practice address
5 Ryan TRL
Dallas, GA 30157-1078
Phone
(470) 685-0514
NPI assigned
Jul 15, 2025
Last updated
Jul 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Authorized official

Name
Mrs. Latoya Brown Nickles
Title
Owner
Phone
(470) 685-0514

Specialties & licenses 1

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

Addresses

Primary practice location

5 Ryan TRL
Dallas, GA 30157-1078

Mailing address

5 Ryan TRL
Dallas, GA 30157-1078
Phone (470) 685-0514

Other names 1

  • Green Hearts Adult Day Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1497646582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 RYAN TRL",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301571078",
            "telephone_number": "470-685-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 RYAN TRL",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301571078",
            "telephone_number": "470-685-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN HEARTS ADULT DAY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "NICKLES",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_middle_name": "BROWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-685-0514",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Hearts Adult Day Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.