Organization Active NPI

The Golden Apple II

  • Assisted Living Facility
  • Moultrie, GA
National Provider Identifier
1710103189
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
THE GOLDEN APPLE II
Practice address
606 5TH Ave SE
Moultrie, GA 31768-4909
Phone
(229) 890-5313
Fax
(229) 985-1133
NPI assigned
Apr 17, 2007
Last updated
Jan 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Authorized official

Name
Holly Hampton
Title
Office Administrator
Phone
(229) 890-5313

Specialties & licenses 1

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

Addresses

Primary practice location

606 5TH Ave SE
Moultrie, GA 31768-4909

Mailing address

606 5TH Ave SE
Moultrie, GA 31768-4909

National Provider Directory

National Provider Directory

Locations

606 5th Ave SE
Moultrie, GA 31768
Phone (229) 890-5313

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1710103189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 5TH AVE SE",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317684909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 5TH AVE SE",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317684909",
            "telephone_number": "229-890-5313",
            "fax_number": "229-985-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GOLDEN APPLE II",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "HAMPTON",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "229-890-5313"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moultrie, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.