Johnson's Personal Care Home, Inc.

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

JOHNSON'S PERSONAL CARE HOME, INC.

Practice address

1007 Hall St
Bainbridge, GA 39819-4693

Phone

(229) 246-2420

Fax

(246) 246-2424

NPI assigned

Dec 20, 2006

Last updated

Aug 28, 2007By 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

Ms. Lashanda Tamika Johnson, CNA

Title

Owner

Phone

(229) 246-2420

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1972667400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 HALL ST",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194693",
            "telephone_number": "229-246-2420",
            "fax_number": "246-246-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 HALL ST",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194693",
            "telephone_number": "229-246-2420",
            "fax_number": "246-246-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON'S PERSONAL CARE HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LASHANDA",
        "authorized_official_middle_name": "TAMIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-246-2420",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brett Jones, PHARMD
• Carnel Renea Jones, LPC
• Linda Jones, MD
• Sydney Jordan
• K and K Living, LLC

• Assisted Living Facility (Mental Illness) in Bainbridge, GA
• Providers in Bainbridge, GA by specialty
• Assisted Living Facility (Mental Illness) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.