Great Day 11

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GREAT DAY 11

Doing business as

Great Day PCH 11

Practice address

2059 Clark St
Augusta, GA 30904-3067

Phone

(706) 836-0979

NPI assigned

Feb 4, 2022

Last updated

Feb 14, 2022By 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. Nicole CooperNPI 1346915907

Title

Owner

Phone

(706) 836-0979

Specialties & licenses 1

Addresses

Other names 1

• Great Day PCH 11 Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicole Cooper

  • Nursing Home Administrator
  • Hephzibah, GA
  • NPI 1346915907
  NPD Authorized official

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1649924135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2059 CLARK ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309043067",
            "telephone_number": "706-836-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2059 CLARK ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309043067",
            "telephone_number": "706-836-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT DAY 11",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-836-0979",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Day PCH 11",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jada Gray
• Joshua Jordan Gray
• Otis Lee Gray Jr., MD
• Shontrena Gray
• Grays Group, LLC
• Great Day Personal Care LLC (Great Day Personal Care Home 11)
• Greater Care Services, Inc
• Greater Horizons Counseling Services, LLC
• Greater Image Healthcare Corp
• Dana Leah Greear, MS, RD, LD, MPH

• Assisted Living Facility in Augusta, GA
• Providers in Augusta, 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 Feb 14, 2022; 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.