Burst of Joy Personal Care

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

065-01-023-1 Issued in GA

Legal business name

BURST OF JOY PERSONAL CARE

Practice address

396 7TH Ave SE
Cairo, GA 39828-3070

Phone

(229) 397-0819

NPI assigned

May 13, 2014

Last updated

May 13, 2014By 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

Ventrisha Linett Mollins

Title

Owner

Phone

(229) 378-0693

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1790196772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 144",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398283288",
            "telephone_number": "229-378-0693",
            "fax_number": "229-397-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 7TH AVE SE",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398283070",
            "telephone_number": "229-397-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURST OF JOY PERSONAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "MOLLINS",
        "authorized_official_first_name": "VENTRISHA",
        "authorized_official_middle_name": "LINETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-378-0693"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "GA",
            "license": "065-01-023-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bettye Joyce Bradshaw
• Winston Burnum Brock Jr., PHARM.D
• Stuart Brooks, RRT, RCP
• Lumis Coats Brown, DDS
• Jeanna Maxwell Bryant
• Connie Mobley Butler, R.PH.
• Cairo Eye Care, LLC (Cairo Eye Care)
• Cairo Family Medical Center, PC
• Cairo Medical Care, LLC
• Temesia Calloway, FNP-C

• Community Health Clinic/Center in Cairo, GA
• Providers in Cairo, GA by specialty
• Community Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.