Mission1Heart Assisted Living Homes, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MISSION1HEART ASSISTED LIVING HOMES, LLC

Practice address

12 Lambert CT
Midway, GA 31320-4804

Phone

(912) 272-5509

NPI assigned

Apr 8, 2022

Organization subpart

No

Name

Mrs. Annie Louise Foskey

Title

Owner, Operator

Phone

(912) 272-5509

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 20, 2022.

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1801538145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 LAMBERT CT",
            "city": "MIDWAY",
            "state": "GA",
            "postal_code": "313204804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 LAMBERT CT",
            "city": "MIDWAY",
            "state": "GA",
            "postal_code": "313204804",
            "telephone_number": "912-272-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION1HEART ASSISTED LIVING HOMES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "FOSKEY",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER, OPERATOR",
        "authorized_official_telephone_number": "912-272-5509",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Georgia",
            "affiliation": "N",
            "endpointDescription": "Resident information",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12 Lambert Ct",
            "city": "Midway",
            "state": "GA",
            "country_code": "US",
            "postal_code": "313204804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.