Essence Personal Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

PCH008654 Issued in GA

Legal business name

ESSENCE PERSONAL CARE HOME

Practice address

206 Flowing Wells Rd
Martinez, GA 30907-2140

Phone

(803) 646-5174

NPI assigned

Dec 6, 2016

Last updated

Feb 21, 2017By 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. Lashonda Renee Swedenburg

Title

Owner

Phone

(803) 646-5174

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1538603824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 FLOWING WELLS RD",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309072140",
            "telephone_number": "803-646-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 FLOWING WELLS RD",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309072140",
            "telephone_number": "803-646-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENCE PERSONAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-06",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "SWEDENBURG",
        "authorized_official_first_name": "LASHONDA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-646-5174",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "GA",
            "license": "PCH008654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Martinez, GA
• Providers in Martinez, 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 Feb 21, 2017; 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.