NPIMap

Organization Active NPI

Nursing Care of Georgia

  • Adult Care Home Facility
  • Tucker, GA
National Provider Identifier
1851720569
Registry record updated Nov 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
044-R-1209 Issued in GA
Legal business name
NURSING CARE OF GEORGIA
Practice address
4500 Hugh Howell Rd Ste 360
Tucker, GA 30084-4729
Phone
(470) 299-3192
NPI assigned
Nov 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2013

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

Authorized official

Name
Mrs. Mary Lewis, RN
Title
Owner
Phone
(678) 438-1492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 044-R-1209 GA Primary

Addresses

Primary practice location

4500 Hugh Howell Rd Ste 360
Tucker, GA 30084-4729

Mailing address

4500 Hugh Howell Rd Ste 360
Tucker, GA 30084-4729
Phone (470) 299-3192

Other names 1

  • Comfort Keepers Doing business as

National Provider Directory

National Provider Directory

Locations

4500 Hugh Howell Rd
Ste 360
Tucker, GA 30084
Phone (470) 299-3192

NPI Registry JSON

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

{
    "created_epoch": "1383436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383436800000",
    "number": "1851720569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 HUGH HOWELL RD STE 360",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844729",
            "telephone_number": "470-299-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 HUGH HOWELL RD STE 360",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844729",
            "telephone_number": "470-299-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSING CARE OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-03",
        "last_updated": "2013-11-03",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-438-1492",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "GA",
            "license": "044-R-1209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Keepers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.