Organization Active NPI

Goa Operator LLC

  • Assisted Living Facility
  • Mobile, AL
National Provider Identifier
1639315484
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
5524 (ALF) Issued in AL
Legal business name
GOA OPERATOR LLC
Doing business as
Gordon Oaks Assisted Living
Practice address
3145 Knollwood Dr
Mobile, AL 36693-2762
Phone
(251) 661-7600
Fax
(251) 602-9160
NPI assigned
Dec 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Authorized official

Name
Ana Neese
Title
Administrator
Phone
(251) 661-7600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 5524 (ALF) AL Primary
Assisted Living Facility 310400000X 5526 (SCALF) AL

Addresses

Primary practice location

3145 Knollwood Dr
Mobile, AL 36693-2762

Mailing address

3145 Knollwood Dr
Mobile, AL 36693-2762
Phone (251) 661-7600

Other names 1

  • Gordon Oaks Assisted Living Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1639315484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 KNOLLWOOD DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366932762",
            "telephone_number": "251-661-7600",
            "fax_number": "251-602-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3145 KNOLLWOOD DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366932762",
            "telephone_number": "251-661-7600",
            "fax_number": "251-602-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOA OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "NEESE",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "251-661-7600"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AL",
            "license": "5524 (ALF)",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AL",
            "license": "5526 (SCALF)",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gordon Oaks Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.