Active NPI
Coosa Valley Regional Services
- Home Delivered Meals
- Rome, GA
National Provider Identifier
1619039187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Delivered Meals
- Legal business name
- COOSA VALLEY REGIONAL SERVICES
- Practice address
- 3 Riverside Parkway
Rome, GA 30161 - Phone
- (706) 235-2798
- Fax
- (706) 235-3098
- NPI assigned
- Dec 14, 2006
- Last updated
- Aug 22, 2020
- 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
- Mrs. Karen B. Carter, MA
- Title
- Interim Executive Director
- Phone
- (706) 235-2798
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Delivered Meals | 332U00000X | GA | Primary |
Addresses
Primary practice location
3 Riverside Parkway
Rome, GA 30161
Mailing address
3 Riverside Parkway
Rome, GA 30161
Phone (706) 235-2798
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1619039187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 RIVERSIDE PARKWAY",
"city": "ROME",
"state": "GA",
"postal_code": "30161",
"telephone_number": "706-235-2798",
"fax_number": "706-235-3098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 RIVERSIDE PARKWAY",
"city": "ROME",
"state": "GA",
"postal_code": "30161",
"telephone_number": "706-235-2798",
"fax_number": "706-235-3098"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COOSA VALLEY REGIONAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CARTER",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "INTERIM EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "706-235-2798",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MA"
},
"taxonomies": [
{
"code": "332U00000X",
"taxonomy_group": "",
"desc": "Home Delivered Meals",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rome, 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.