Active NPI
Family Extended Care of Albany, Inc.
- Assisted Living Facility
- Albany, GA
National Provider Identifier
1609072131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.