Active NPI
Jonesboro Assisted Living Center, LLC
- Assisted Living Facility
- Jonesboro, GA
National Provider Identifier
1831353671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- JONESBORO ASSISTED LIVING CENTER, LLC
- Practice address
- 2650 Highway 138 E
Jonesboro, GA 30236-2744 - Phone
- (770) 603-5559
- Fax
- (770) 210-1034
- NPI assigned
- Jul 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Norbert A Bennett
- Title
- Co-Ceo
- Phone
- (716) 662-4955
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
2650 Highway 138 E
Jonesboro, GA 30236-2744
Mailing address
2650 Highway 138 E
Jonesboro, GA 30236-2744
Phone (770) 603-5559
National Provider Directory
National Provider DirectoryLocations
2650 Highway 138 E
Jonesboro, GA 30236
Phone (256) 457-4618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215648000000",
"number": "1831353671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 HIGHWAY 138 E",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302362744",
"telephone_number": "770-603-5559",
"fax_number": "770-210-1034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 HIGHWAY 138 E",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302362744",
"telephone_number": "770-603-5559",
"fax_number": "770-210-1034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JONESBORO ASSISTED LIVING CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-10",
"last_updated": "2008-07-10",
"status": "A",
"authorized_official_last_name": "BENNETT",
"authorized_official_first_name": "NORBERT",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CO-CEO",
"authorized_official_telephone_number": "716-662-4955",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, GA
- Marlynn B Jones, RN,APRN
- Marresa December Jones, D.C.
- Nikka N Jones, BA, M.ED., CCC-SLP
- Patricia Ann Jones, DO
- Willie Eugene Jones Jr., MA, LPC
- Jonesboro Center for Nursing and Healing LLC
- Jonesboro Dental Associates
- Jonesboro Elite Healthcare Agency
- Jonesboro Nursing and Rehabilitation Center, LLC
- Jonesboro Pediatrics
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.