Organization Active NPI

Bennetts Landing Inc

Doing business as Summer Willow Assisted Living

  • Assisted Living Facility
  • Swainsboro, GA
National Provider Identifier
1790902518
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BENNETTS LANDING INC
Doing business as
Summer Willow Assisted Living
Practice address
259 Nunez Lexsy Rd
Swainsboro, GA 30401-5170
Phone
(912) 562-4325
Fax
(912) 562-7061
NPI assigned
Apr 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Shannon Bennett
Title
Owner
Phone
(912) 562-4325

Specialties & licenses 1

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

Addresses

Primary practice location

259 Nunez Lexsy Rd
Swainsboro, GA 30401-5170

Mailing address

259 Nunez Lexsy Rd
Swainsboro, GA 30401-5170
Phone (912) 562-4325

Other names 1

  • Summer Willow Assisted Living Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790902518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 NUNEZ LEXSY RD",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304015170",
            "telephone_number": "912-562-4325",
            "fax_number": "912-562-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 NUNEZ LEXSY RD",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304015170",
            "telephone_number": "912-562-4325",
            "fax_number": "912-562-7061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNETTS LANDING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-562-4325"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summer Willow Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Swainsboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.