Master'S Personal Care Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MASTER'S PERSONAL CARE HOME

Practice address

362 Carver St
Thomson, GA 30824-3508

Phone

(706) 595-6694

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Annie Jones

Title

Owner

Phone

(706) 595-6694

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932265618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 CARVER ST",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308243508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 CARVER ST",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308243508",
            "telephone_number": "706-595-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTER'S PERSONAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-595-6694"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Barmore Mahoney, M.D.
• Elias Makonnen, PHARMACIST
• Nikitha Manem, MD
• Christina Michelle Marshall-Franklin, CMA,AAMA
• Digna Ivelith Martinez
• Jett Lavern McCullough, PHARMACIST
• Michael David McDaniel, P.A.
• McDuffie County Board of Commissioners
• McDuffie County Board of Health
• McDuffie County Board of Health

• Assisted Living Facility in Thomson, GA
• Providers in Thomson, 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 Aug 22, 2020; 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.