NPIMap

Organization Active NPI

Pines Personal Care Home II Als

  • Assisted Living Facility
  • Albany, GA
National Provider Identifier
1629235106
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
K536292 Issued in GA
Legal business name
PINES PERSONAL CARE HOME II ALS
Practice address
2121 Martin Luther King Jr Dr BLDG D
Albany, GA 31701-4112
Phone
(229) 878-1415
Fax
(229) 878-1417
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Mr. Albert C. Meadows
Title
Owner
Phone
(229) 878-1415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X K536292 GA Primary

Addresses

Primary practice location

2121 Martin Luther King Jr Dr BLDG D
Albany, GA 31701-4112

Mailing address

2121 Martin Luther King Jr Dr
Albany, GA 31701-4101
Phone (229) 878-1415

National Provider Directory

National Provider Directory
Tax ID family
A C Meadows4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1629235106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 MARTIN LUTHER KING JR DR",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317014101",
            "telephone_number": "229-878-1415",
            "fax_number": "229-878-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 MARTIN LUTHER KING JR DR BLDG D",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317014112",
            "telephone_number": "229-878-1415",
            "fax_number": "229-878-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINES PERSONAL CARE HOME II ALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "MEADOWS",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-878-1415",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": "K536292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 22, 2008; 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.