Organization Active NPI

Mt. Zion Operations, LLC

Doing business as Elmcroft of Mt. Zion

  • Assisted Living Facility
  • Jonesboro, GA
National Provider Identifier
1528344215
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MT. ZION OPERATIONS, LLC
Doing business as
Elmcroft of Mt. Zion
Practice address
7493 Mount Zion Blvd
Jonesboro, GA 30236-2415
Phone
(770) 210-6433
Fax
(770) 210-8911
NPI assigned
Oct 26, 2011
Last updated
Oct 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Authorized official

Name
Robin L. Barber, JD
Title
Vice President
Phone
(502) 753-6004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

7493 Mount Zion Blvd
Jonesboro, GA 30236-2415

Mailing address

9510 Ormsby Station Rd
Suite 101 Attention Legal Department
Louisville, KY 40223-4081
Phone (502) 753-6004

Other names 1

  • Elmcroft of Mt. Zion Doing business as

National Provider Directory

National Provider Directory

Locations

7493 Mount Zion Blvd
Jonesboro, GA 30236
Phone (770) 210-6433

NPI Registry JSON

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1528344215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 ORMSBY STATION RD",
            "address_2": "SUITE 101 ATTENTION LEGAL DEPARTMENT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234081",
            "telephone_number": "502-753-6004",
            "fax_number": "502-753-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7493 MOUNT ZION BLVD",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362415",
            "telephone_number": "770-210-6433",
            "fax_number": "770-210-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. ZION OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "502-753-6004",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmcroft of Mt. Zion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.