Jackson Falls Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

044018521 Issued in GA

Legal business name

JACKSON FALLS INC

Practice address

5611 Wilderness Trce
Stone MTN, GA 30087-5266

Phone

(404) 803-3805

NPI assigned

Nov 5, 2013

Last updated

Nov 5, 2013By 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

Celia Jackson

Title

Ceo

Phone

(404) 803-3805

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1922437318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5611 WILDERNESS TRCE",
            "city": "STONE MTN",
            "state": "GA",
            "postal_code": "300875266",
            "telephone_number": "404-803-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5611 WILDERNESS TRCE",
            "city": "STONE MTN",
            "state": "GA",
            "postal_code": "300875266",
            "telephone_number": "404-803-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON FALLS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-803-3805"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": "044018521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Stone MTN, GA
• Providers in Stone MTN, 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 Nov 5, 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.