Organization Active NPI

Knob Hill Assisted Living Center, Inc.

  • Assisted Living Facility
  • Evans, GA
National Provider Identifier
1639235708
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
KNOB HILL ASSISTED LIVING CENTER, INC.
Practice address
2818 Knob Hill Farm Rd
Evans, GA 30809-6618
Phone
(706) 860-0556
Fax
(706) 868-8572
NPI assigned
Dec 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Carol T. Williams, R.N.
Title
Owner
Phone
(706) 359-1115

Specialties & licenses 1

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

Addresses

Primary practice location

2818 Knob Hill Farm Rd
Evans, GA 30809-6618

Mailing address

2818 Knob Hill Farm Rd
Evans, GA 30809-6618
Phone (706) 860-0556

National Provider Directory

National Provider Directory

Locations

2818 Knob Hill Farm Rd
Evans, GA 30809
Phone (706) 860-0556

NPI Registry JSON

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

{
    "created_epoch": "1167523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639235708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 KNOB HILL FARM RD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308096618",
            "telephone_number": "706-860-0556",
            "fax_number": "706-868-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 KNOB HILL FARM RD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308096618",
            "telephone_number": "706-860-0556",
            "fax_number": "706-868-8572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOB HILL ASSISTED LIVING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-359-1115",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, 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.

Verify at the official NPI Registry.