Organization Active NPI

Allys Sernior Services, Inc.

  • Health Maintenance Organization
  • Duluth, GA
National Provider Identifier
1679960884
Registry record updated Apr 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
LPN067457 Issued in GA
Legal business name
ALLYS SERNIOR SERVICES, INC.
Practice address
3400 McClure Bridge Rd
Building C-301
Duluth, GA 30096-6675
Phone
(404) 839-3631
NPI assigned
Apr 26, 2015
Last updated
Apr 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2015

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

Authorized official

Name
Marguerita B. Parker
Title
Adminstrator
Phone
(404) 839-3631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X LPN067457 GA Primary

Addresses

Primary practice location

3400 McClure Bridge Rd
Building C-301
Duluth, GA 30096-6675

Mailing address

3400 McClure Bridge Rd
Building C-301
Duluth, GA 30096-6675
Phone (404) 839-3631

National Provider Directory

National Provider Directory
Tax ID family
Allys Senior Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3400 McClure Bridge Rd
Ste C301
Duluth, GA 30096
Phone (404) 839-3631

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": "1430006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430006400000",
    "number": "1679960884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 MCCLURE BRIDGE RD",
            "address_2": "BUILDING C-301",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300966675",
            "telephone_number": "404-839-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 MCCLURE BRIDGE RD",
            "address_2": "BUILDING C-301",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300966675",
            "telephone_number": "404-839-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLYS SERNIOR SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-26",
        "last_updated": "2015-04-26",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "MARGUERITA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "404-839-3631"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "GA",
            "license": "LPN067457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2015; 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.