Organization Active NPI

South Horizon Healthcare LLC

  • Assisted Living Facility
  • Stockbridge, GA
National Provider Identifier
1801230586
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SOUTH HORIZON HEALTHCARE LLC
Practice address
4030 North Henry BLV.
Suite 201
Stockbridge, GA 30281
Phone
(770) 584-6042
NPI assigned
Apr 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Authorized official

Name
Mrs. Sandra F. Bryant
Title
RN Manager
Phone
(770) 584-6042

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary
Mental Illness Intermediate Care Facility 310500000X

Addresses

Primary practice location

4030 North Henry BLV.
Suite 201
Stockbridge, GA 30281

Mailing address

4030 North Henry BLV.
Suite 201
Stockbridge, GA 30281

National Provider Directory

National Provider Directory

Locations

4030 N Henry Blvd
Ste 201
Stockbridge, GA 30281
Phone (770) 584-6042

NPI Registry JSON

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1801230586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 NORTH HENRY BLV.",
            "address_2": "SUITE 201",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "30281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 NORTH HENRY BLV.",
            "address_2": "SUITE 201",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "30281",
            "telephone_number": "770-584-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HORIZON HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "RN MANAGER",
        "authorized_official_telephone_number": "770-584-6042",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.