Organization Active NPI

Family Extended Care of Albany, Inc.

  • Assisted Living Facility
  • Albany, GA
National Provider Identifier
1609072131
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
FAMILY EXTENDED CARE OF ALBANY, INC.
Practice address
2821 Gillionville Rd
Albany, GA 31721-2951
Phone
(229) 889-8840
Fax
(229) 434-0780
NPI assigned
Jun 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mary Parrett
Title
Director of Operations
Phone
(941) 342-0566

Specialties & licenses 1

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

Addresses

Primary practice location

2821 Gillionville Rd
Albany, GA 31721-2951

Mailing address

2821 Gillionville Rd
Albany, GA 31721-2951
Phone (229) 889-8840

Other names 1

  • Evergreen Assisted Living 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": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609072131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 GILLIONVILLE RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317212951",
            "telephone_number": "229-889-8840",
            "fax_number": "229-434-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 GILLIONVILLE RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317212951",
            "telephone_number": "229-889-8840",
            "fax_number": "229-434-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EXTENDED CARE OF ALBANY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARRETT",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "941-342-0566"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.