Morningside of Evans, Limited Partnership

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

036-03-003-1 Issued in GA

Legal business name

MORNINGSIDE OF EVANS, LIMITED PARTNERSHIP

Practice address

353 N Belair Rd
Evans, GA 30809-3096

Phone

(706) 228-4709

Fax

(706) 854-6259

NPI assigned

Jun 6, 2006

Organization subpart

Yes

Parent organization

MORNINGSIDE OF EVANS, LIMITED PARTNERSHIPAs reported in NPPES

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

Authorized official

Name

Bruce J Mackey Jr.

Title

President & Chief Executive Officer

Phone

(617) 796-8214

Specialties & licenses 1

Addresses

Other names 1

• Morningside of Evans Doing business as

Part of

Morningside of Evans Limited Partnership

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1811936735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CENTRE ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024582094",
            "telephone_number": "617-796-8387",
            "fax_number": "617-796-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 N BELAIR RD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093096",
            "telephone_number": "706-228-4709",
            "fax_number": "706-854-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORNINGSIDE OF EVANS, LIMITED PARTNERSHIP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MORNINGSIDE OF EVANS, LIMITED PARTNERSHIP",
        "enumeration_date": "2006-06-06",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "MACKEY",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "617-796-8214",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": "036-03-003-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morningside of Evans",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelley Velinda Mondi, MD
• Stephanie Michelle Montoya
• Ariona Moore
• Jennifer Moore
• Shireen Qureshi Moore, MD
• Dalicia Morris
• Kacee Camp Morris, PA-C
• Diane Elizabeth Morrow, RN, BSN, CCM
• Amy Boozer Moyer, PT
• Larissa Mrad-Crawford

• Assisted Living Facility in Evans, GA
• Providers in Evans, GA by specialty
• Assisted Living Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.