NPIMap

Organization Active NPI

Signature Activity Center

  • Developmentally Disabled Services Day Training Agency
  • Athens, GA
National Provider Identifier
1730694639
Registry record updated Dec 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
SIGNATURE ACTIVITY CENTER
Practice address
162 Lexington HTS
Athens, GA 30605-2318
Phone
(706) 224-4531
NPI assigned
Dec 13, 2017
Last updated
Dec 13, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
SIGNATURE CARE OF GEORGIA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 13, 2017

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

Authorized official

Name
Michael Pope
Title
Coo
Phone
(678) 485-2527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary

Addresses

Primary practice location

162 Lexington HTS
Athens, GA 30605-2318

Mailing address

PO Box 80044
Athens, GA 30608-0044
Phone (678) 485-2527

Other identifiers 1

IdentifierTypeStateIssuer
222938820EMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Signature Care of Georgia LLC2 organizations share this tax ID, including this one
Part of
Signature Care of Georgia LLC

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513123200000",
    "number": "1730694639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80044",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306080044",
            "telephone_number": "678-485-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 LEXINGTON HTS",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306052318",
            "telephone_number": "706-224-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE ACTIVITY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIGNATURE CARE OF GEORGIA, LLC",
        "enumeration_date": "2017-12-13",
        "last_updated": "2017-12-13",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "678-485-2527"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "222938820E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; 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.