Powder Springs Operating LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

POWDER SPRINGS OPERATING LLC

Practice address

3460 Powder Springs Rd
Powder Springs, GA 30127-2322

Phone

(770) 439-9199

NPI assigned

Jan 4, 2021

Last updated

Jan 4, 2021By 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

Shlomo E Heller

Title

Ceo, Empire Care Centers LLC

Phone

(470) 737-0111

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1669060968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 BLVD OF THE AMERICAS",
            "address_2": "SUITE 206",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701",
            "telephone_number": "470-737-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 POWDER SPRINGS RD",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301272322",
            "telephone_number": "770-439-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWDER SPRINGS OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2020-12-24",
        "status": "A",
        "authorized_official_last_name": "HELLER",
        "authorized_official_first_name": "SHLOMO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO, EMPIRE CARE CENTERS LLC",
        "authorized_official_telephone_number": "470-737-0111"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Powder Springs, GA
• Providers in Powder Springs, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.