Organization Active NPI

Pinkies Place

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Warner Robins, GA
National Provider Identifier
1659987931
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
PINKIES PLACE
Practice address
216 Self St
Warner Robins, GA 31088-5506
Phone
(478) 551-4864
NPI assigned
Sep 22, 2020
Last updated
Sep 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Authorized official

Name
Mr. Joshua Lamont Primas
Title
Director
Phone
(478) 551-4864

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary

Addresses

Primary practice location

216 Self St
Warner Robins, GA 31088-5506

Mailing address

216 Self St
Warner Robins, GA 31088-5506
Phone (478) 551-4864

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1659987931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 SELF ST",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885506",
            "telephone_number": "478-551-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 SELF ST",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885506",
            "telephone_number": "478-551-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINKIES PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "PRIMAS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "LAMONT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "478-551-4864",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

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