Organization Active NPI

Cedar Communities at Bountiful Hills, LLC

  • Assisted Living Facility
  • Commerce, GA
National Provider Identifier
1730945817
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CEDAR COMMUNITIES AT BOUNTIFUL HILLS, LLC
Practice address
200 Bolton Dr
Commerce, GA 30529-1092
Phone
(706) 335-5152
NPI assigned
Feb 26, 2024
Last updated
Mar 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
Nicholas T. Terzulli
Title
General Counsel
Phone
(212) 557-7200

Specialties & licenses 1

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

Addresses

Primary practice location

200 Bolton Dr
Commerce, GA 30529-1092

Mailing address

200 Bolton Dr
Commerce, GA 30529-1092
Phone (706) 335-5152

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1730945817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BOLTON DR",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305291092",
            "telephone_number": "706-335-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BOLTON DR",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305291092",
            "telephone_number": "706-335-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR COMMUNITIES AT BOUNTIFUL HILLS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "TERZULLI",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "212-557-7200"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.