Green Meadows Personal Care, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GREEN MEADOWS PERSONAL CARE, INC.

Practice address

155 Abney Rd
Cochran, GA 31014-1634

Phone

(478) 934-1404

NPI assigned

Dec 27, 2023

Last updated

Dec 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James N Pettis

Title

President

Phone

(478) 714-0246

Specialties & licenses 1

Addresses

Other names 1

• Green Meadows Personal Care Home Other name

Locations

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1871362285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310690947",
            "telephone_number": "478-714-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 ABNEY RD",
            "city": "COCHRAN",
            "state": "GA",
            "postal_code": "310141634",
            "telephone_number": "478-934-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN MEADOWS PERSONAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "PETTIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-714-0246",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Meadows Personal Care Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Assisted Living Facility in Cochran, GA
• Providers in Cochran, 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 Dec 27, 2023; 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.