Sunset Nellee PCH

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

10-00015847 Issued in GA

Legal business name

SUNSET NELLEE PCH

Practice address

6420 Bennett Dr
Rex, GA 30273-1731

Phone

(678) 565-9940

NPI assigned

Oct 8, 2010

Last updated

Oct 8, 2010By 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

Mrs. Sherl Nell Pinkston

Title

Owner/Manager

Phone

(678) 565-9940

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1598075525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 BENNETT DR",
            "city": "REX",
            "state": "GA",
            "postal_code": "302731731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 BENNETT DR",
            "city": "REX",
            "state": "GA",
            "postal_code": "302731731",
            "telephone_number": "678-565-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET NELLEE PCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "PINKSTON",
        "authorized_official_first_name": "SHERL",
        "authorized_official_middle_name": "NELL",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "678-565-9940",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": "10-00015847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "357063458A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Rex, GA
• Providers in Rex, GA by specialty
• Assisted Living Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.