Madison House Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

104030011 Issued in GA

Legal business name

MADISON HOUSE ASSISTED LIVING

Practice address

3910 Dixie Hwy
Madison, GA 30650-3431

Phone

(706) 474-3722

Fax

(706) 557-0203

NPI assigned

Jan 26, 2012

Last updated

Jan 26, 2012By 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

Albert Miguel Perera

Title

Owner

Phone

(706) 342-4514

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1902178643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 W JEFFERSON ST",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "306501367",
            "telephone_number": "706-342-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 DIXIE HWY",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "306503431",
            "telephone_number": "706-474-3722",
            "fax_number": "706-557-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON HOUSE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-26",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "PERERA",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "MIGUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-342-4514"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": "104030011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M S Publishing and Consulting LLC (Marilyn S. Snow, Ph.D, LPC, RPT-S)
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• Madison Emergency Group, PC
• Madison Family Medicine,LLP
• Madison Medical Associates, PC
• Madison Primary Care, LLC
• Madisondentalgroupllc
• Amelia Ruth Malcom, APRN
• Kelly Lynn Martin

• Assisted Living Facility in Madison, GA
• Providers in Madison, 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 Jan 26, 2012; 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.