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MORNINGSIDE OF CONYERS LLC NPI 1023053212


NPI Information

NPI: 1023053212
Provider Name: MORNINGSIDE OF CONYERS, LLC

Doing Business As: MORNINGSIDE OF CONYERS

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1352 WELLBROOK CIR NE
CONYERS, GA
ZIP 30012
Phone: (770) 922-1654
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MORNINGSIDE OF CONYERS, LLC is an assisted living facility in Conyers, GA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. MORNINGSIDE OF CONYERS, LLC NPI is 1023053212. The provider is registered as an organization entity type.
The provider Is Doing Business As Morningside Of Conyers.

The provider's business location address is:

1352 WELLBROOK CIR NE
CONYERS, GA
ZIP 30012-872
Phone: (770) 922-1654
Fax: (770) 922-1148

The provider's authorized official is Bruce J Mackey .
The authorized official title is President & Chief Executive Officer and has the following contact phone number (617) 796-8214.

The enumeration date for this NPI number is 6/19/2006 and was last updated on 6/27/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility022-03-005-1GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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