Spring Villa Personal Care Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

011020151 Issued in GA

Legal business name

SPRING VILLA PERSONAL CARE HOME

Practice address

620 Monroe St
Macon, GA 31201-1422

Phone

(478) 742-0972

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Emogene Tompkins

Title

Director

Phone

(478) 742-0972

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1962523167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 MONROE ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312011422",
            "telephone_number": "478-742-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 MONROE ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312011422",
            "telephone_number": "478-742-0972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING VILLA PERSONAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "TOMPKINS",
        "authorized_official_first_name": "EMOGENE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "478-742-0972",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": "011020151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00454968A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher M Spivey, CRNA
• Jordan Gihl Spivey, DPT
• Richard Cooper Spivey, AMFT
• Villanueva Topaze Spivey, ARNP
• Benjamin Andrew Spratlin, PHARMD
• Amber Sproule, MS, RD, LD
• Fred Ssenjakko, RN
• Juliet Ethel Ssenjakko, MSN FNP
• Jennifer Stabell
• Loren C Stahl, M.D.

• Assisted Living Facility in Macon, GA
• Providers in Macon, 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 12, 2008; 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.