NPIMap

Organization Active NPI

First Born Outreach Center Inc

  • Assisted Living Facility
  • Fort Valley, GA
National Provider Identifier
1962557637
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
FIRST BORN OUTREACH CENTER INC
Practice address
1000 ML King Jr Dr
Fort Valley, GA 31030-6246
Phone
(478) 825-7011
Fax
(478) 825-8851
NPI assigned
Jan 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Essie Dennis
Title
Administrator
Phone
(478) 825-5119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X GA Primary

Addresses

Primary practice location

1000 ML King Jr Dr
Fort Valley, GA 31030-6246

Mailing address

PO Box 109
Fort Valley, GA 31030-0109
Phone (478) 825-5119

National Provider Directory

National Provider Directory
Tax ID family
First Born Outreach Center Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962557637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 109",
            "city": "FORT VALLEY",
            "state": "GA",
            "postal_code": "310300109",
            "telephone_number": "478-825-5119",
            "fax_number": "478-825-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ML KING JR DR",
            "city": "FORT VALLEY",
            "state": "GA",
            "postal_code": "310306246",
            "telephone_number": "478-825-7011",
            "fax_number": "478-825-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST BORN OUTREACH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "ESSIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "478-825-5119"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Valley, GA

Sources for this page

  • 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.