NPIMap

Organization Active NPI

County Paradise Assisted Living

  • Assisted Living Facility
  • McIntyre, GA
National Provider Identifier
1679804603
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
RN102334 Issued in GA
Legal business name
COUNTY PARADISE ASSISTED LIVING
Practice address
546 Macon Road
McIntyre, GA 31054
Phone
(478) 946-3164
Fax
(478) 628-6042
NPI assigned
Jan 14, 2010
Last updated
Jan 14, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY PARADISE ASSISTED LIVING/PRN NURSING SOLUTIONSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Authorized official

Name
Mrs. Janice Stella Hill, REGISTERED NURSENPI 1770855215
Title
Ceo, RN
Phone
(478) 456-9296

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X RN102334 GA Primary
Home Health Aide 374U00000X RN102334 GA
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X RN102334 GA

Addresses

Primary practice location

546 Macon Road
McIntyre, GA 31054

Mailing address

PO Box 82
546 Macon Road
McIntyre, GA 31054
Phone (478) 946-3164

Other names 1

  • PRN Nursing Solutions Other name

National Provider Directory

National Provider Directory
Tax ID family
County Paradise Assisted Living2 organizations share this tax ID, including this one
Part of
County Paradise Assisted Living

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1679804603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82",
            "address_2": "546 MACON ROAD",
            "city": "MCINTYRE",
            "state": "GA",
            "postal_code": "31054",
            "telephone_number": "478-946-3164",
            "fax_number": "478-628-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 MACON ROAD",
            "city": "MCINTYRE",
            "state": "GA",
            "postal_code": "31054",
            "telephone_number": "478-946-3164",
            "fax_number": "478-628-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY PARADISE ASSISTED LIVING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY PARADISE ASSISTED LIVING/PRN NURSING SOLUTIONS",
        "enumeration_date": "2010-01-14",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "STELLA",
        "authorized_official_title_or_position": "CEO, RN",
        "authorized_official_telephone_number": "478-456-9296",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": "RN102334",
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "GA",
            "license": "RN102334",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "RN102334",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRN Nursing Solutions",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in McIntyre, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.