NPIMap

Organization Active NPI

Prudent Senior Services of Georgia

  • Adult Day Care Clinic/Center
  • Peachtree Corners, GA
National Provider Identifier
1730841966
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
PRUDENT SENIOR SERVICES OF GEORGIA
Practice address
3850 Holcomb Bridge Rd Ste 450
Peachtree Corners, GA 30092-2202
Phone
(770) 454-7979
NPI assigned
Oct 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Authorized official

Name
Wooiyi Tan Yin
Title
Coo
Phone
(770) 612-1388

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Adult Day Care Clinic/Center 261QA0600X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

3850 Holcomb Bridge Rd Ste 450
Peachtree Corners, GA 30092-2202

Mailing address

3850 Holcomb Bridge Rd Ste 450
Peachtree Corners, GA 30092-2202

National Provider Directory

National Provider Directory
Tax ID family
Prudent Senior Services of Georgia3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

3850 Holcomb Bridge Rd
Ste 450
Peachtree Corners, GA 30092
Phone (770) 454-7979

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1730841966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 HOLCOMB BRIDGE RD STE 450",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300922202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 HOLCOMB BRIDGE RD STE 450",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300922202",
            "telephone_number": "770-454-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUDENT SENIOR SERVICES OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "YIN",
        "authorized_official_first_name": "WOOIYI",
        "authorized_official_middle_name": "TAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "770-612-1388"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree Corners, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.