Active NPI
The Golden Apple II
- Assisted Living Facility
- Moultrie, GA
National Provider Identifier
1710103189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.