Organization Active NPI

Dolly's Personal Care HME

Doing business as Agnes Taylor

  • Developmentally Disabled Services Day Training Agency
  • Winder, GA
National Provider Identifier
1609235670
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
DOLLY'S PERSONAL CARE HME
Doing business as
Agnes Taylor
Practice address
555 Cotton Creek LN
Winder, GA 30680-8304
Phone
(678) 559-9009
Fax
(678) 261-5928
NPI assigned
Feb 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Authorized official

Name
Ms. Cynthia Vincent
Title
General Manager
Phone
(678) 215-6241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X GA Primary

Addresses

Primary practice location

555 Cotton Creek LN
Winder, GA 30680-8304

Mailing address

38 S Broad St
Ste 100
Winder, GA 30680-8000
Phone (678) 559-9009

Other names 1

  • Agnes Taylor Doing business as

National Provider Directory

National Provider Directory

Locations

38 S Broad St
Ste 100
Winder, GA 30680

NPI Registry JSON

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1609235670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 S BROAD ST",
            "address_2": "STE 100",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306808000",
            "telephone_number": "678-559-9009",
            "fax_number": "678-261-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 COTTON CREEK LN",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306808304",
            "telephone_number": "678-559-9009",
            "fax_number": "678-261-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOLLY'S PERSONAL CARE HME",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "678-215-6241",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agnes Taylor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winder, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.