Organization Active NPI

Simply Living Personal Care Home, LLC

  • Assisted Living Facility
  • Savannah, GA
National Provider Identifier
1770193120
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SIMPLY LIVING PERSONAL CARE HOME, LLC
Practice address
3 Berwick CT
Savannah, GA 31406-6721
Phone
(912) 341-9322
NPI assigned
Jul 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Authorized official

Name
Fredericka Johnson
Title
Owner
Phone
(912) 341-9322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3 Berwick CT
Savannah, GA 31406-6721

Mailing address

3 Berwick CT
Savannah, GA 31406-6721
Phone (912) 341-9322

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1770193120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BERWICK CT",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314066721",
            "telephone_number": "912-341-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BERWICK CT",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314066721",
            "telephone_number": "912-341-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY LIVING PERSONAL CARE HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "FREDERICKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-341-9322"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.