St James Place, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ST JAMES PLACE, INC

Practice address

2027 Alta Vista Dr
Columbus, GA 31907-3213

Phone

(706) 221-8578

Fax

(706) 221-9206

NPI assigned

May 4, 2018

Last updated

May 4, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia Bullard-Manuel

Title

President

Phone

(706) 315-7723

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• St James Place, Inc Former legal business name

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525392000000",
    "number": "1629567797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 ALTA VISTA DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319073213",
            "telephone_number": "706-221-8578",
            "fax_number": "706-221-9206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 ALTA VISTA DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319073213",
            "telephone_number": "706-221-8578",
            "fax_number": "706-221-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JAMES PLACE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-05-04",
        "status": "A",
        "authorized_official_last_name": "BULLARD-MANUEL",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-315-7723",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000982022A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St James Place, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Assisted Living Facility in Columbus, GA
• Providers in Columbus, GA by specialty
• Assisted Living Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; 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.