Organization Active NPI

Jonesboro Assisted Living Center, LLC

  • Assisted Living Facility
  • Jonesboro, GA
National Provider Identifier
1831353671
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Jul 10, 2008

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)CodeLicenseStatePrimary
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 Directory

Locations

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

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.

Verify at the official NPI Registry.