NPIMap

Organization Active NPI

Place at Augusta, LLC

  • Skilled Nursing Facility
  • Augusta, GA
National Provider Identifier
1639103690
Registry record updated Jun 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PLACE AT AUGUSTA, LLC
Practice address
820 Stevens Creek Rd
Augusta, GA 30907-9251
Phone
(615) 706-8606
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2008

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

Authorized official

Name
W Melissa Oden
Title
Owner
Phone
(615) 585-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

820 Stevens Creek Rd
Augusta, GA 30907-9251

Mailing address

820 Stevens Creek Rd
Augusta, GA 30907-9251
Phone (706) 860-6622

Other identifiers 1

IdentifierTypeStateIssuer
000213463AMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Place at Augusta LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212796800000",
    "number": "1639103690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 STEVENS CREEK RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309079251",
            "telephone_number": "706-860-6622",
            "fax_number": "706-860-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 STEVENS CREEK RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309079251",
            "telephone_number": "615-706-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLACE AT AUGUSTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-06-07",
        "status": "A",
        "authorized_official_last_name": "ODEN",
        "authorized_official_first_name": "W",
        "authorized_official_middle_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-585-4444"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000213463A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.