Intimate Estates, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

107030049 Issued in GA

Legal business name

INTIMATE ESTATES, INC

Practice address

449 Womack Rd
Covington, GA 30016-1882

Phone

(678) 279-5400

Fax

(678) 279-5470

NPI assigned

Nov 10, 2010

Last updated

Nov 11, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Carol Belgrave

Title

Ceo

Phone

(678) 279-5400

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1750682571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 WOMACK RD",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300161882",
            "telephone_number": "678-279-5400",
            "fax_number": "678-279-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 WOMACK RD",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300161882",
            "telephone_number": "678-279-5400",
            "fax_number": "678-279-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTIMATE ESTATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "BELGRAVE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-279-5400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": "107030049",
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "GA",
            "license": "107030049",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.