St. Benedict Assisted Living Services, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

ST. BENEDICT ASSISTED LIVING SERVICES, LLC

Doing business as

St. Benedict Assisted Living Services

Practice address

482 Broadstone Way NW
Acworth, GA 30101-3516

Phone

(201) 952-3616

NPI assigned

Sep 21, 2010

Organization subpart

No

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

Authorized official

Name

Cassandra Freeman, BA

Title

Owner

Phone

(201) 952-3616

Specialties & licenses 1

Addresses

Other names 1

• St. Benedict Assisted Living Services Doing business as

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1881902062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "482 BROADSTONE WAY NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301013516",
            "telephone_number": "201-952-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 BROADSTONE WAY NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301013516",
            "telephone_number": "201-952-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. BENEDICT ASSISTED LIVING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-21",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-952-3616",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Benedict Assisted Living Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Case Management Agency in Acworth, GA
• Providers in Acworth, GA by specialty
• Case Management Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.