Active NPI
The White House
- Assisted Living Facility
- Waycross, GA
National Provider Identifier
1740499110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- THE WHITE HOUSE
- Practice address
- 452 State St
Waycross, GA 31501-4621 - Phone
- (912) 283-2000
- Fax
- (912) 285-3080
- NPI assigned
- May 22, 2007
- 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
- Mr. Bhagwan Hiranand Advani
- Title
- President
- Phone
- (912) 284-1940
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
452 State St
Waycross, GA 31501-4621
Mailing address
452 State St
Waycross, GA 31501-4621
Phone (912) 283-2000
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219190400000",
"number": "1740499110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "452 STATE ST",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315014621",
"telephone_number": "912-283-2000",
"fax_number": "912-285-3080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "452 STATE ST",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315014621",
"telephone_number": "912-283-2000",
"fax_number": "912-285-3080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE WHITE HOUSE",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-22",
"last_updated": "2008-08-20",
"status": "A",
"authorized_official_last_name": "ADVANI",
"authorized_official_first_name": "BHAGWAN",
"authorized_official_middle_name": "HIRANAND",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "912-284-1940",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waycross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.