Organization Active NPI

Nancy Hall's Personal Care Home of Evans

  • Assisted Living Facility
  • Evans, GA
National Provider Identifier
1710043476
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
NANCY HALL'S PERSONAL CARE HOME OF EVANS
Practice address
4528 Hereford Farm Rd
Evans, GA 30809-3416
Phone
(706) 650-7642
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nancy Hall
Title
Owner
Phone
(706) 650-7642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X GA Primary

Addresses

Primary practice location

4528 Hereford Farm Rd
Evans, GA 30809-3416

Mailing address

4528 Hereford Farm Rd
Evans, GA 30809-3416

National Provider Directory

National Provider Directory

Locations

4528 Hereford Farm Rd
Evans, GA 30809
Phone (706) 650-7642

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710043476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4528 HEREFORD FARM RD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4528 HEREFORD FARM RD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093416",
            "telephone_number": "706-650-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY HALL'S PERSONAL CARE HOME OF EVANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-650-7642"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

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